Individual ProviderDestiny LedouxCase Manager/Care CoordinatorOther Service ProvidersPractice Address119 W Vine St, Opelousas, LA 70570-5153(337) 407-5060PECOS EnrollmentBased on the most recent information from CMS, provider Destiny Ledoux 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 ID1427754589Provider TypeIndividualFull NameLedoux, DestinyGenderFemaleSole ProprietorNoEnumeration Date1/31/2023Last Updated1/31/2023Contact InformationPractice LocationPractice Address119 W Vine St, Opelousas, LA 70570-5153Phone(337) 407-5060FaxUnlisted FaxMailing LocationMailing Address119 W Vine St, Opelousas, LA 70570-5153Phone(337) 407-5060FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer