Individual ProviderMillicent HallRegistered NurseNursing Service ProvidersPractice Address3219 Mickle Ave, Bronx, NY 10469-2715(718) 644-9812PECOS EnrollmentBased on the most recent information from CMS, provider Millicent Hall 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 ID1396106761Provider TypeIndividualFull NameHall, MillicentGenderFemaleSole ProprietorNoEnumeration Date3/14/2016Last Updated3/14/2016Contact InformationPractice LocationPractice Address3219 Mickle Ave, Bronx, NY 10469-2715Phone(718) 644-9812FaxUnlisted FaxMailing LocationMailing Address3219 Mickle Ave, Bronx, NY 10469-2715Phone(718) 644-9812FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense248003New York