Individual ProviderLorena Venita PachecoCase Manager/Care CoordinatorOther Service ProvidersPractice Address1705 W Main St, Mesa, AZ 85201-6920(877) 809-5092PECOS EnrollmentBased on the most recent information from CMS, provider Lorena Venita Pacheco 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 12:57 PM.Profile DetailsProvider ID1710694153Provider TypeIndividualFull NamePacheco, Lorena VenitaGenderFemaleSole ProprietorYesEnumeration Date11/4/2022Last Updated11/4/2022Contact InformationPractice LocationPractice Address1705 W Main St, Mesa, AZ 85201-6920Phone(877) 809-5092FaxUnlisted FaxMailing LocationMailing Address1705 W Main St, Mesa, AZ 85201-6920Phone(877) 809-5092FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer