Individual ProviderRosalynn JohnsonCase Manager/Care CoordinatorOther Service ProvidersPractice Address165 Cedar Grove Dr, Opelousas, LA 70570-3053(337) 290-4366PECOS EnrollmentBased on the most recent information from CMS, provider Rosalynn Johnson 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 ID1598203598Provider TypeIndividualFull NameJohnson, RosalynnGenderFemaleSole ProprietorNoEnumeration Date2/9/2017Last Updated11/28/2023Contact InformationPractice LocationPractice Address165 Cedar Grove Dr, Opelousas, LA 70570-3053Phone(337) 290-4366FaxUnlisted FaxMailing LocationMailing Address209 Main St, Opelousas, LA 70570PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense15360Louisiana