Individual ProviderMary CorbanCase Manager/Care CoordinatorOther Service ProvidersPractice Address2331 Canal St, New Orleans, LA 70119(504) 304-3737PECOS EnrollmentBased on the most recent information from CMS, provider Mary Corban 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 ID1841741998Provider TypeIndividualFull NameCorban, MaryCredentialPLPCGenderFemaleSole ProprietorNoEnumeration Date10/24/2016Last Updated5/30/2018Contact InformationPractice LocationPractice Address2331 Canal St, New Orleans, LA 70119Phone(504) 304-3737FaxUnlisted FaxMailing LocationMailing Address2331 Canal St, New Orleans, LA 70119-6503Phone(504) 304-3737FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicense7350LouisianaCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer