Individual ProviderDonna JeffersonCase Manager/Care CoordinatorOther Service ProvidersPractice Address506 W Jackman St # Oc, Lancaster, CA 93534-2531(661) 726-2850PECOS EnrollmentBased on the most recent information from CMS, provider Donna Jefferson 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 2 days ago.Profile DetailsProvider ID1417454760Provider TypeIndividualFull NameJefferson, DonnaCredentialICMGenderFemaleSole ProprietorYesEnumeration Date4/11/2018Last Updated6/16/2018Contact InformationPractice LocationPractice Address506 W Jackman St # Oc, Lancaster, CA 93534-2531Phone(661) 726-2850Fax(661) 726-2854Mailing LocationMailing Address506 W Jackman St # Oc, Lancaster, CA 93534-2531Phone(661) 726-2850Fax(661) 726-2854Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer