Individual ProviderLoren RichardsonRegistered NurseNursing Service ProvidersPractice Address3223 Ely Ave, Bronx, NY 10469-3130(646) 510-4571PECOS EnrollmentBased on the most recent information from CMS, provider Loren Richardson 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 7 days ago.Profile DetailsProvider ID1376714824Provider TypeIndividualFull NameRichardson, LorenGenderMaleSole ProprietorYesEnumeration Date3/12/2008Last Updated3/13/2008Contact InformationPractice LocationPractice Address3223 Ely Ave, Bronx, NY 10469-3130Phone(646) 510-4571FaxUnlisted FaxMailing LocationMailing Address3223 Ely Ave, Bronx, NY 10469-3130PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense543595-1New York