Individual ProviderMandy FowleSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2735 E Tudor Rd, Anchorage, AK 99507-1135(907) 562-7900PECOS EnrollmentBased on the most recent information from CMS, provider Mandy Fowle 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 yesterday at 10:46 AM.Profile DetailsProvider ID1578866265Provider TypeIndividualFull NameFowle, MandyCredentialBSWGenderFemaleSole ProprietorYesEnumeration Date12/17/2010Last Updated12/17/2010Contact InformationPractice LocationPractice Address2735 E Tudor Rd, Anchorage, AK 99507-1135Phone(907) 562-7900Fax(907) 562-7901Mailing LocationMailing Address2735 E Tudor Rd, Anchorage, AK 99507-1135PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer