Individual ProviderKeidrick OwensCase Manager/Care CoordinatorOther Service ProvidersPractice Address1310 S Union St Ste 2, Opelousas, LA 70570-5612(337) 942-9292PECOS EnrollmentBased on the most recent information from CMS, provider Keidrick Owens 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 10:02 AM.Profile DetailsProvider ID1255994265Provider TypeIndividualFull NameOwens, KeidrickCredentialBACHELORSGenderMaleSole ProprietorYesEnumeration Date4/16/2019Last Updated4/16/2019Contact InformationPractice LocationPractice Address1310 S Union St Ste 2, Opelousas, LA 70570-5612Phone(337) 942-9292Fax(337) 942-9222Mailing LocationMailing Address1310 S Union St Ste 2, Opelousas, LA 70570-5612Phone(337) 942-9292Fax(337) 942-9222Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerLouisiana