Individual ProviderOsamudiamen OtasowieCase Manager/Care CoordinatorOther Service ProvidersPractice Address45111 Fern Ave, Lancaster, CA 93534-2301(661) 949-1206PECOS EnrollmentBased on the most recent information from CMS, provider Osamudiamen Otasowie 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 yesterday at 9:16 AM.Profile DetailsProvider ID1386985240Provider TypeIndividualFull NameOtasowie, OsamudiamenCredentialCASE MANAGEMENTGenderFemaleSole ProprietorNoEnumeration Date3/1/2013Last Updated7/27/2022Contact InformationPractice LocationPractice Address45111 Fern Ave, Lancaster, CA 93534-2301Phone(661) 949-1206FaxUnlisted FaxMailing LocationMailing Address45111 Fern Ave, Lancaster, CA 93534-2301Phone(661) 949-1206FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode106H00000XDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseIMF 74144California