Individual ProviderShandrell DawsonLicensed Practical NurseNursing Service ProvidersPractice Address100 Center Road, Rochester, NY 14609-3915(585) 482-2190PECOS EnrollmentBased on the most recent information from CMS, provider Shandrell Dawson 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 12:33 PM.Profile DetailsProvider ID1619125192Provider TypeIndividualFull NameDawson, ShandrellTitleMs.CredentialLPNGenderFemaleSole ProprietorYesEnumeration Date9/9/2008Last Updated3/15/2011Contact InformationPractice LocationPractice Address100 Center Road, Rochester, NY 14609-3915Phone(585) 482-2190FaxUnlisted FaxMailing LocationMailing Address100 Center Road, Rochester, NY 14609-3915PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense261389-1New York