Individual ProviderPatricia HalleySpecialistOther Service ProvidersPractice Address1030 Jefferson Ave, Memphis, TN 38104-2127(901) 523-8990PECOS EnrollmentBased on the most recent information from CMS, provider Patricia Halley 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 yesterday at 12:57 PM.Profile DetailsProvider ID1881026938Provider TypeIndividualFull NameHalley, PatriciaGenderFemaleSole ProprietorYesEnumeration Date7/31/2013Last Updated7/31/2013Contact InformationPractice LocationPractice Address1030 Jefferson Ave, Memphis, TN 38104-2127Phone(901) 523-8990FaxUnlisted FaxMailing LocationMailing Address1030 Jefferson Ave, Memphis, TN 38104-2127PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicense26390Tennessee