Individual ProviderDianna AndrusCase Manager/Care CoordinatorOther Service ProvidersPractice Address805 S Union St, Opelousas, LA 70570-6029(337) 678-4004PECOS EnrollmentBased on the most recent information from CMS, provider Dianna Andrus 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 3 days ago.Profile DetailsProvider ID1508336819Provider TypeIndividualFull NameAndrus, DiannaTitleMrs.GenderFemaleSole ProprietorYesEnumeration Date11/29/2018Last Updated1/22/2019Contact InformationPractice LocationPractice Address805 S Union St, Opelousas, LA 70570-6029Phone(337) 678-4004FaxUnlisted FaxMailing LocationMailing Address2041 Penny Ln, Opelousas, LA 70570-3203PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer