Individual ProviderAlexander Si-Yuan HomerStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address222 Richmond St, Providence, RI 02903-4228(508) 431-7519PECOS EnrollmentBased on the most recent information from CMS, provider Alexander Si-Yuan Homer 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 ID1477311892Provider TypeIndividualFull NameHomer, Alexander Si-YuanGenderMaleSole ProprietorYesEnumeration Date3/11/2024Last Updated3/11/2024Contact InformationPractice LocationPractice Address222 Richmond St, Providence, RI 02903-4228Phone(508) 431-7519FaxUnlisted FaxMailing LocationMailing Address222 Richmond St, Providence, RI 02903-4228PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer