Individual ProviderKiara LandryCase Manager/Care CoordinatorOther Service ProvidersPractice Address1238 Edith St, Opelousas, LA 70570(337) 942-9292PECOS EnrollmentBased on the most recent information from CMS, provider Kiara Landry 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 ID1306373717Provider TypeIndividualFull NameLandry, KiaraGenderFemaleSole ProprietorYesEnumeration Date5/16/2017Last Updated5/18/2018Contact InformationPractice LocationPractice Address1238 Edith St, Opelousas, LA 70570Phone(337) 942-9292FaxUnlisted FaxMailing LocationMailing Address1238 Edith St, Opelousas, LA 70570-5917PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID171M00000XDescriptionMedicaidIssuerUnlistedLouisiana