Individual ProviderJacolby Christopher JironCase Manager/Care CoordinatorOther Service ProvidersPractice Address119 W Vine St, Opelousas, LA 70570-5153(337) 326-4568PECOS EnrollmentBased on the most recent information from CMS, provider Jacolby Christopher Jiron 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 9:15 AM.Profile DetailsProvider ID1477190940Provider TypeIndividualFull NameJiron, Jacolby ChristopherGenderMaleSole ProprietorYesEnumeration Date12/4/2019Last Updated1/15/2021Contact InformationPractice LocationPractice Address119 W Vine St, Opelousas, LA 70570-5153Phone(337) 326-4568FaxUnlisted FaxMailing LocationMailing Address119 W Vine St, Opelousas, LA 70570-5153PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID000000000DescriptionMedicaidIssuerUnlistedLouisiana