Individual ProviderDenise Colette DavisCase Manager/Care CoordinatorOther Service ProvidersPractice Address2140 Saint Bernard Ave, New Orleans, LA 70119-1613(504) 943-1857PECOS EnrollmentBased on the most recent information from CMS, provider Denise Colette Davis 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 ID1588127971Provider TypeIndividualFull NameDavis, Denise ColetteGenderFemaleSole ProprietorNoEnumeration Date4/11/2019Last Updated4/11/2019Contact InformationPractice LocationPractice Address2140 Saint Bernard Ave, New Orleans, LA 70119-1613Phone(504) 943-1857FaxUnlisted FaxMailing LocationMailing Address9 Honeysuckle Ln, New Orleans, LA 70128-1147PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID1376805440DescriptionMedicaidIssuerUnlistedLouisiana