Individual ProviderBreanna DavisCase Manager/Care CoordinatorOther Service ProvidersPractice Address1310 S Union St Ste 3, Opelousas, LA 70570-5612(337) 942-9292PECOS EnrollmentBased on the most recent information from CMS, provider Breanna Davis 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 ID1801352356Provider TypeIndividualFull NameDavis, BreannaCredentialBACHELORSGenderFemaleSole ProprietorYesEnumeration Date2/20/2019Last Updated2/20/2019Contact InformationPractice LocationPractice Address1310 S Union St Ste 3, Opelousas, LA 70570-5612Phone(337) 942-9292FaxUnlisted FaxMailing LocationMailing Address1310 S Union St Ste 3, Opelousas, LA 70570-5612Phone(337) 942-9292Fax(337) 942-9220Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerLouisiana