Individual ProviderTiffany DeanCase Manager/Care CoordinatorOther Service ProvidersPractice Address139 Elmwood St, Opelousas, LA 70570-1371(337) 351-4313PECOS EnrollmentBased on the most recent information from CMS, provider Tiffany Dean 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 ID1225502404Provider TypeIndividualFull NameDean, TiffanyCredentialM.EDGenderFemaleSole ProprietorNoEnumeration Date1/21/2019Last Updated1/30/2019Contact InformationPractice LocationPractice Address139 Elmwood St, Opelousas, LA 70570-1371Phone(337) 351-4313FaxUnlisted FaxMailing LocationMailing Address139 Elmwood St, Opelousas, LA 70570-1371Phone(337) 351-4313FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode2255A2300XDescriptionSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense2013North Carolina