Individual ProviderDavid ShiversCase Manager/Care CoordinatorOther Service ProvidersPractice Address1605 N Harrison St, Shawnee, OK 74804-4022(405) 481-7187PECOS EnrollmentBased on the most recent information from CMS, provider David Shivers 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 ID1528457637Provider TypeIndividualFull NameShivers, DavidGenderMaleSole ProprietorYesEnumeration Date1/13/2015Last Updated1/13/2015Contact InformationPractice LocationPractice Address1605 N Harrison St, Shawnee, OK 74804-4022Phone(405) 481-7187FaxUnlisted FaxMailing LocationMailing Address48595 Wolverine Rd, Prague, OK 74864-1250Phone(405) 481-7187FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer