Individual ProviderRaven LewisCase Manager/Care CoordinatorOther Service ProvidersPractice Address805 S Union St, Opelousas, LA 70570-6029(337) 678-4004(337) 466-0098PECOS EnrollmentBased on the most recent information from CMS, provider Raven Lewis 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 ID1750917498Provider TypeIndividualFull NameLewis, RavenGenderFemaleSole ProprietorYesEnumeration Date3/13/2020Last Updated3/13/2020Contact InformationPractice LocationPractice Address805 S Union St, Opelousas, LA 70570-6029Phone(337) 678-4004FaxUnlisted FaxMailing LocationMailing Address263 Gail Rd, Eunice, LA 70535-8138Phone(337) 466-0098FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer