Travis Austin Boisvert | Lancaster, CA • PECOS Search

Travis Austin Boisvert

Case Manager/Care Coordinator

Other Service Providers

506 W Jackman St, Lancaster, CA 93534-2531

(661) 726-2850 (661) 526-8611

PECOS Enrollment

Based on the most recent information from CMS, provider Travis Austin Boisvert does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1679099410
Provider Type
Individual
Full Name
Boisvert, Travis Austin
Gender
Male

Sole Proprietor
No
Enumeration Date
8/14/2017
Last Updated
8/14/2017

Contact Information

Practice Location

506 W Jackman St, Lancaster, CA 93534-2531

Unlisted Fax

Mailing Location

2124 Windflow Dr, Rosamond, CA 93560-6115

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171M00000X Primary	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer California