Individual ProviderDaquila CowartLicensed Practical NurseNursing Service ProvidersPractice Address180 Jerold St, Rochester, NY 14609-3408(585) 957-0716PECOS EnrollmentBased on the most recent information from CMS, provider Daquila Cowart 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 12:33 PM.Profile DetailsProvider ID1821524919Provider TypeIndividualFull NameCowart, DaquilaGenderFemaleSole ProprietorNoEnumeration Date5/10/2017Last Updated5/10/2017Contact InformationPractice LocationPractice Address180 Jerold St, Rochester, NY 14609-3408Phone(585) 957-0716FaxUnlisted FaxMailing LocationMailing Address180 Jerold St, Rochester, NY 14609-3408Phone(585) 957-0716FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense301011New YorkProvider IdentifiersIDDescriptionIssuerID301011DescriptionMedicaidIssuerUnlistedNew York