Individual ProviderTiria BrownCase Manager/Care CoordinatorOther Service ProvidersPractice Address1417 W Morris Ave Ste E, Hammond, LA 70403-3854(985) 542-9949PECOS EnrollmentBased on the most recent information from CMS, provider Tiria Brown 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 8 days ago.Profile DetailsProvider ID1356709257Provider TypeIndividualFull NameBrown, TiriaGenderFemaleSole ProprietorYesEnumeration Date2/5/2016Last Updated9/17/2018Contact InformationPractice LocationPractice Address1417 W Morris Ave Ste E, Hammond, LA 70403-3854Phone(985) 542-9949FaxUnlisted FaxMailing LocationMailing Address1417 W Morris Ave Ste E, Hammond, LA 70403-3854PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicense11020LouisianaProvider IdentifiersIDDescriptionIssuerID1108804DescriptionMedicaidIssuerUnlistedLouisiana