Individual ProviderMadeline Jo LarsonStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address19555 N 59th Ave, Glendale, AZ 85308-6813(623) 572-3200PECOS EnrollmentBased on the most recent information from CMS, provider Madeline Jo Larson 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 ID1366247173Provider TypeIndividualFull NameLarson, Madeline JoCredentialPA-S2GenderFemaleSole ProprietorNoEnumeration Date2/17/2025Last Updated2/17/2025Contact InformationPractice LocationPractice Address19555 N 59th Ave, Glendale, AZ 85308-6813Phone(623) 572-3200FaxUnlisted FaxMailing LocationMailing Address7554 W Calavar Rd, Peoria, AZ 85381-4696PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer