Individual ProviderChantel WilsonCase Manager/Care CoordinatorOther Service ProvidersPractice Address209 N Broad St Ste A, New Orleans, LA 70119-5507(504) 577-1154PECOS EnrollmentBased on the most recent information from CMS, provider Chantel Wilson 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 2 days ago.Profile DetailsProvider ID1285124883Provider TypeIndividualFull NameWilson, ChantelGenderFemaleSole ProprietorNoEnumeration Date5/18/2018Last Updated5/18/2018Contact InformationPractice LocationPractice Address209 N Broad St Ste A, New Orleans, LA 70119-5507Phone(504) 577-1154FaxUnlisted FaxMailing LocationMailing Address209 N Broad St Ste A, New Orleans, LA 70119-5507Phone(504) 577-1154FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer