Individual ProviderVince CasellaStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address20 E River Park Pl W, Fresno, CA 93720-1551(855) 355-6288PECOS EnrollmentBased on the most recent information from CMS, provider Vince Casella 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 ID1871333419Provider TypeIndividualFull NameCasella, VinceCredentialRNGenderMaleSole ProprietorNoEnumeration Date5/30/2024Last Updated5/30/2024Contact InformationPractice LocationPractice Address20 E River Park Pl W, Fresno, CA 93720-1551Phone(855) 355-6288FaxUnlisted FaxMailing LocationMailing Address20 E River Park Pl W, Fresno, CA 93720-1551PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseRN95217544California