Individual ProviderJavier Monique PennywellCase Manager/Care CoordinatorOther Service ProvidersPractice Address805 S Union St, Opelousas, LA 70570-6029(337) 648-4004(337) 466-6965PECOS EnrollmentBased on the most recent information from CMS, provider Javier Monique Pennywell 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 ID1790336576Provider TypeIndividualFull NamePennywell, Javier MoniqueCredentialBACHELOR OF ARTSGenderFemaleSole ProprietorYesEnumeration Date9/24/2019Last Updated9/24/2019Contact InformationPractice LocationPractice Address805 S Union St, Opelousas, LA 70570-6029Phone(337) 648-4004FaxUnlisted FaxMailing LocationMailing Address230 Stone St, Eunice, LA 70535-2871Phone(337) 466-6965FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer