Individual ProviderMakayla Simien SimienCase Manager/Care CoordinatorOther Service ProvidersPractice Address119 W Vine St, Opelousas, LA 70570-5153(337) 692-2376(337) 504-2655PECOS EnrollmentBased on the most recent information from CMS, provider Makayla Simien Simien 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 ID1598364754Provider TypeIndividualFull NameSimien, Makayla SimienGenderFemaleSole ProprietorNoEnumeration Date10/20/2020Last Updated10/20/2020Contact InformationPractice LocationPractice Address119 W Vine St, Opelousas, LA 70570-5153Phone(337) 692-2376FaxUnlisted FaxMailing LocationMailing Address119 W Vine St, Opelousas, LA 70570-5153Phone(337) 504-2655FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID000000DescriptionMedicaidIssuerUnlistedLouisiana