Individual ProviderAnthony Ray ParkerCase Manager/Care CoordinatorOther Service ProvidersPractice Address208 Ballard Loop, Opelousas, LA 70570(318) 789-9190PECOS EnrollmentBased on the most recent information from CMS, provider Anthony Ray Parker 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 3 days ago.Profile DetailsProvider ID1245708452Provider TypeIndividualFull NameParker, Anthony RayTitleMr.GenderMaleSole ProprietorNoEnumeration Date11/6/2018Last Updated11/6/2018Contact InformationPractice LocationPractice Address208 Ballard Loop, Opelousas, LA 70570Phone(318) 789-9190FaxUnlisted FaxMailing LocationMailing Address208 Bellard Loop, Opelousas, LA 70570-2454Phone(318) 789-9190FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerLouisianaProvider IdentifiersIDDescriptionIssuerID110630914DescriptionMedicaidIssuerUnlistedLouisiana