Individual ProviderAlyssa Rey LandesCase Manager/Care CoordinatorOther Service ProvidersPractice Address2610 N Park Ave Apt 200, Shawnee, OK 74804-2825(405) 510-7766PECOS EnrollmentBased on the most recent information from CMS, provider Alyssa Rey Landes 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 ID1639745532Provider TypeIndividualFull NameLandes, Alyssa ReyTitleMrs.GenderFemaleSole ProprietorYesEnumeration Date6/1/2021Last Updated6/1/2021Contact InformationPractice LocationPractice Address2610 N Park Ave Apt 200, Shawnee, OK 74804-2825Phone(405) 510-7766FaxUnlisted FaxMailing LocationMailing Address2610 N Park Ave Apt 200, Shawnee, OK 74804-2825Phone(405) 510-7766FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer