Individual ProviderClaudette Rose DavisRegistered NurseNursing Service ProvidersPractice Address230 N Main St, Spring Valley, NY 10977-4020(845) 207-0324PECOS EnrollmentBased on the most recent information from CMS, provider Claudette Rose Davis 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 11:54 AM.Profile DetailsProvider ID1275035115Provider TypeIndividualFull NameDavis, Claudette RoseGenderFemaleSole ProprietorYesEnumeration Date3/7/2018Last Updated6/16/2018Contact InformationPractice LocationPractice Address230 N Main St, Spring Valley, NY 10977-4020Phone(845) 207-0324FaxUnlisted FaxMailing LocationMailing Address230 N Main St, Spring Valley, NY 10977-4020PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense547093New YorkProvider IdentifiersIDDescriptionIssuerID547093DescriptionMedicaidIssuerUnlistedNew York