Individual ProviderDiane BeckhamTechnicianNursing Service Related ProvidersPractice Address2770 S Maryland Pkwy Ste 108b-G, Las Vegas, NV 89109-1554(702) 463-7779(818) 724-2952PECOS EnrollmentBased on the most recent information from CMS, provider Diane Beckham 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 12:57 PM.Profile DetailsProvider ID1285102194Provider TypeIndividualFull NameBeckham, DianeGenderFemaleSole ProprietorYesEnumeration Date11/8/2018Last Updated11/8/2018Contact InformationPractice LocationPractice Address2770 S Maryland Pkwy Ste 108b-G, Las Vegas, NV 89109-1554Phone(702) 463-7779FaxUnlisted FaxMailing LocationMailing Address1131 Wigwam Pkwy Apt 1108, Henderson, NV 89074-8175Phone(818) 724-2952FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode3747P1801XPrimaryDescriptionTechnicianNursing Service Related ProvidersLicenseUnlisted Issuer