Individual ProviderSandra BryantCase Manager/Care CoordinatorOther Service ProvidersPractice Address1995 Gentilly Blvd, Suite C400, New Orleans, LA 70119(504) 944-0453PECOS EnrollmentBased on the most recent information from CMS, provider Sandra Bryant 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 2 days ago.Profile DetailsProvider ID1831545136Provider TypeIndividualFull NameBryant, SandraGenderFemaleSole ProprietorYesEnumeration Date5/5/2016Last Updated5/14/2018Contact InformationPractice LocationPractice Address1995 Gentilly Blvd, Suite C400, New Orleans, LA 70119Phone(504) 944-0453Fax(504) 944-0095Mailing LocationMailing Address1995 Gentilly Blvd, Suite C400, New Orleans, LA 70119-1700Phone(504) 944-0453Fax(504) 944-0095Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer