Individual ProviderCecilia MthetheRegistered NurseNursing Service ProvidersPractice Address23 State St, Spring Valley, NY 10977-3012(845) 573-1598PECOS EnrollmentBased on the most recent information from CMS, provider Cecilia Mthethe 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 yesterday at 11:54 AM.Profile DetailsProvider ID1194439513Provider TypeIndividualFull NameMthethe, CeciliaGenderFemaleSole ProprietorYesEnumeration Date1/10/2023Last Updated1/10/2023Contact InformationPractice LocationPractice Address23 State St, Spring Valley, NY 10977-3012Phone(845) 573-1598FaxUnlisted FaxMailing LocationMailing Address23 State St, Spring Valley, NY 10977-3012PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense845533New York