Individual ProviderAkquilla FergusonCase Manager/Care CoordinatorOther Service ProvidersPractice Address211 Jackson St SW, Camden, AR 71701-3941(870) 836-5743(870) 862-7921PECOS EnrollmentBased on the most recent information from CMS, provider Akquilla Ferguson 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 5 days ago.Profile DetailsProvider ID1831345321Provider TypeIndividualFull NameFerguson, AkquillaGenderFemaleSole ProprietorYesEnumeration Date8/15/2008Last Updated8/15/2008Contact InformationPractice LocationPractice Address211 Jackson St SW, Camden, AR 71701-3941Phone(870) 836-5743Fax(870) 836-6924Mailing LocationMailing Address715 N College Ave, El Dorado, AR 71730-4403Phone(870) 862-7921Fax(870) 864-2490Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer