Individual ProviderDionne ForresterRegistered NurseNursing Service ProvidersPractice Address12 Lake Ridge Dr, Middletown, NY 10940-2156(845) 775-4298PECOS EnrollmentBased on the most recent information from CMS, provider Dionne Forrester 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 ID1871031898Provider TypeIndividualFull NameForrester, DionneGenderFemaleSole ProprietorYesEnumeration Date2/9/2017Last Updated2/9/2017Contact InformationPractice LocationPractice Address12 Lake Ridge Dr, Middletown, NY 10940-2156Phone(845) 775-4298FaxUnlisted FaxMailing LocationMailing Address12 Lake Ridge Dr, Middletown, NY 10940-2156Phone(845) 775-4298FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense530113New York