Individual ProviderUndretta Deon Rivers-WardSocial WorkerBehavioral Health & Social Service ProvidersPractice Address600 N Olive St, Media, PA 19063-2418(610) 566-7540PECOS EnrollmentBased on the most recent information from CMS, provider Undretta Deon Rivers-Ward 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 ID1467811679Provider TypeIndividualFull NameRivers-Ward, Undretta DeonTitleMrs.GenderFemaleSole ProprietorNoEnumeration Date2/16/2016Last Updated2/16/2016Contact InformationPractice LocationPractice Address600 N Olive St, Media, PA 19063-2418Phone(610) 566-7540Fax(610) 566-7677Mailing LocationMailing Address600 N Olive St, Media, PA 19063-2418Phone(610) 566-7540Fax(610) 566-7677Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer