Charles S. Davis | Reno, NV • PECOS Search

Charles S. Davis

Case Manager/Care Coordinator

Other Service Providers

4600 Kietzke Ln Bldg D, Reno, NV 89502-5033

(775) 688-1612 (775) 221-6766

PECOS Enrollment

Based on the most recent information from CMS, provider Charles S. Davis does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1184924375
Provider Type
Individual
Full Name
Davis, Charles S.
Gender
Male

Sole Proprietor
Yes
Enumeration Date
10/22/2010
Last Updated
9/14/2023

Contact Information

Practice Location

4600 Kietzke Ln Bldg D, Reno, NV 89502-5033

Unlisted Fax

Mailing Location

4600 Kietzke Ln Bldg D, Reno, NV 89502-5033

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171M00000X Primary	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer