Individual ProviderTerrance HackneyStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address20 E River Park Pl W, Fresno, CA 93720-1551(559) 256-4968PECOS EnrollmentBased on the most recent information from CMS, provider Terrance Hackney does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1184464711Provider TypeIndividualFull NameHackney, TerranceGenderMaleSole ProprietorNoEnumeration Date5/30/2024Last Updated5/30/2024Contact InformationPractice LocationPractice Address20 E River Park Pl W, Fresno, CA 93720-1551Phone(559) 256-4968FaxUnlisted FaxMailing LocationMailing Address20 E River Park Pl W, Fresno, CA 93720-1551PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer