Individual ProviderMelissa KillianCase Manager/Care CoordinatorOther Service ProvidersPractice Address506 W Jackman St, Lancaster, CA 93534-2531(661) 726-2850PECOS EnrollmentBased on the most recent information from CMS, provider Melissa Killian 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 ID1679025100Provider TypeIndividualFull NameKillian, MelissaGenderFemaleSole ProprietorNoEnumeration Date11/1/2016Last Updated11/1/2016Contact InformationPractice LocationPractice Address506 W Jackman St, Lancaster, CA 93534-2531Phone(661) 726-2850FaxUnlisted FaxMailing LocationMailing Address506 W Jackman St, Lancaster, CA 93534-2531PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCalifornia