Individual ProviderDawn DeffenbaughCase Manager/Care CoordinatorOther Service ProvidersPractice Address211 Jackson St SW, Camden, AR 71701-3941(870) 836-5743(870) 864-2417PECOS EnrollmentBased on the most recent information from CMS, provider Dawn Deffenbaugh 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 5 days ago.Profile DetailsProvider ID1457753030Provider TypeIndividualFull NameDeffenbaugh, DawnGenderFemaleSole ProprietorYesEnumeration Date9/25/2014Last Updated9/25/2014Contact InformationPractice LocationPractice Address211 Jackson St SW, Camden, AR 71701-3941Phone(870) 836-5743FaxUnlisted FaxMailing LocationMailing Address715 N College Ave, El Dorado, AR 71730-4403Phone(870) 864-2417FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer