Individual ProviderJake FontenotCase Manager/Care CoordinatorOther Service ProvidersPractice Address1238 Edith St, Opelousas, LA 70570(337) 942-9292PECOS EnrollmentBased on the most recent information from CMS, provider Jake Fontenot 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 ID1326551573Provider TypeIndividualFull NameFontenot, JakeGenderMaleSole ProprietorNoEnumeration Date11/9/2017Last Updated8/8/2018Contact InformationPractice LocationPractice Address1238 Edith St, Opelousas, LA 70570Phone(337) 942-9292Fax(337) 942-9220Mailing LocationMailing Address1238 Edith St, Opelousas, LA 70570-5917Phone(337) 942-9292Fax(337) 942-9220Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerLouisiana