Individual ProviderSamuel D BoyscoutBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address4000 San Ernesto Ave, Anchorage, AK 99508-2874(907) 729-5020PECOS EnrollmentBased on the most recent information from CMS, provider Samuel D Boyscout 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 12:57 PM.Profile DetailsProvider ID1437715653Provider TypeIndividualFull NameBoyscout, Samuel DGenderMaleSole ProprietorYesEnumeration Date5/13/2019Last Updated5/13/2019Contact InformationPractice LocationPractice Address4000 San Ernesto Ave, Anchorage, AK 99508-2874Phone(907) 729-5020FaxUnlisted FaxMailing LocationMailing Address4000 San Ernesto Ave, Anchorage, AK 99508-2874Phone(907) 729-5020FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer