Individual ProviderRosalvo Misael AvilaCase Manager/Care CoordinatorOther Service ProvidersPractice Address506 W Jackman St, Lancaster, CA 93534-2531(661) 726-2850(661) 339-0540PECOS EnrollmentBased on the most recent information from CMS, provider Rosalvo Misael Avila 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 ID1427350099Provider TypeIndividualFull NameAvila, Rosalvo MisaelTitleMr.GenderMaleSole ProprietorYesEnumeration Date12/2/2010Last Updated12/2/2010Contact InformationPractice LocationPractice Address506 W Jackman St, Lancaster, CA 93534-2531Phone(661) 726-2850FaxUnlisted FaxMailing LocationMailing Address6815 Princessa Dr, Palmdale, CA 93551-1642Phone(661) 339-0540FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode225400000XDescriptionRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer