Individual ProviderAlyssa Baltazar LongCase Manager/Care CoordinatorOther Service ProvidersPractice Address850 Mill St Ste 100, Reno, NV 89502-1463(702) 410-7825PECOS EnrollmentBased on the most recent information from CMS, provider Alyssa Baltazar Long 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 ID1215745500Provider TypeIndividualFull NameLong, Alyssa BaltazarGenderFemaleSole ProprietorYesEnumeration Date12/19/2024Last Updated2/18/2025Contact InformationPractice LocationPractice Address850 Mill St Ste 100, Reno, NV 89502-1463Phone(702) 410-7825Fax(702) 946-0409Mailing LocationMailing Address3312 W Charleston Blvd, Las Vegas, NV 89102-1829Phone(702) 410-7825Fax(702) 946-0409Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer