Individual ProviderMinnie B ButlerLicensed Practical NurseNursing Service ProvidersPractice Address125 Woodman Park, Rochester, NY 14609-3815(585) 224-9038(585) 464-9055PECOS EnrollmentBased on the most recent information from CMS, provider Minnie B Butler 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 12:33 PM.Profile DetailsProvider ID1326192220Provider TypeIndividualFull NameButler, Minnie BCredentialLPNGenderFemaleSole ProprietorYesEnumeration Date1/22/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address125 Woodman Park, Rochester, NY 14609-3815Phone(585) 224-9038FaxUnlisted FaxMailing LocationMailing Address210 Penhurst St, Rochester, NY 14619-1522Phone(585) 464-9055FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense220173-1New York