Individual ProviderMaranda C BoutteCase Manager/Care CoordinatorOther Service ProvidersPractice Address281 Government Rd, Opelousas, LA 70570-1275(337) 692-2547PECOS EnrollmentBased on the most recent information from CMS, provider Maranda C Boutte 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 ID1528820685Provider TypeIndividualFull NameBoutte, Maranda CGenderFemaleSole ProprietorYesEnumeration Date1/24/2024Last Updated1/24/2024Contact InformationPractice LocationPractice Address281 Government Rd, Opelousas, LA 70570-1275Phone(337) 692-2547FaxUnlisted FaxMailing LocationMailing Address281 Government Rd, Opelousas, LA 70570-1275Phone(337) 692-2547FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer