Individual ProviderMarlana KingLicensed Practical NurseNursing Service ProvidersPractice Address98 Gillette Ave, Patchogue, NY 11772-2515(631) 488-7321PECOS EnrollmentBased on the most recent information from CMS, provider Marlana King 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 ID1558773580Provider TypeIndividualFull NameKing, MarlanaGenderFemaleSole ProprietorYesEnumeration Date5/26/2014Last Updated5/26/2014Contact InformationPractice LocationPractice Address98 Gillette Ave, Patchogue, NY 11772-2515Phone(631) 488-7321FaxUnlisted FaxMailing LocationMailing Address98 Gillette Ave, Patchogue, NY 11772-2515Phone(631) 488-7321FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense303588New York