Individual ProviderGlory AndrusCase Manager/Care CoordinatorOther Service ProvidersPractice Address805 South Union Street, Opelousas, LA 70570(337) 678-4004PECOS EnrollmentBased on the most recent information from CMS, provider Glory Andrus 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 3 days ago.Profile DetailsProvider ID1346804861Provider TypeIndividualFull NameAndrus, GloryGenderFemaleSole ProprietorYesEnumeration Date4/30/2019Last Updated4/30/2019Contact InformationPractice LocationPractice Address805 South Union Street, Opelousas, LA 70570Phone(337) 678-4004FaxUnlisted FaxMailing LocationMailing Address705 Mae St, Opelousas, LA 70570-7957PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer