Individual ProviderEulista ClemonsSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2255 Renaissance Dr Ste A, Las Vegas, NV 89119-6194(702) 561-0556PECOS EnrollmentBased on the most recent information from CMS, provider Eulista Clemons 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 4 days ago.Profile DetailsProvider ID1730515750Provider TypeIndividualFull NameClemons, EulistaGenderFemaleSole ProprietorYesEnumeration Date9/23/2013Last Updated4/8/2020Contact InformationPractice LocationPractice Address2255 Renaissance Dr Ste A, Las Vegas, NV 89119-6194Phone(702) 561-0556FaxUnlisted FaxMailing LocationMailing Address2225 Renaissance Dr Ste A, Las Vegas, NV 89119-6731Phone(702) 561-0556FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerNevada