Leslie Jo Coots | Shawnee, OK • PECOS Search

Leslie Jo Coots

Case Manager/Care Coordinator

Other Service Providers

1010 E 45th St, Shawnee, OK 74804-2202

PECOS Enrollment

Based on the most recent information from CMS, provider Leslie Jo Coots does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1265192918
Provider Type
Individual
Full Name
Coots, Leslie Jo
Title
Miss
Credential
BS

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/22/2021
Last Updated
3/1/2024

Contact Information

Practice Location

1010 E 45th St, Shawnee, OK 74804-2202

Unlisted Fax

Mailing Location

36605 45th St, Shawnee, OK 74804-8882

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171M00000X Primary	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer