Shanice Easter | Camden, AR • PECOS Search

Shanice Easter

Case Manager/Care Coordinator

Other Service Providers

211 Jackson St SW, Camden, AR 71701-3941

PECOS Enrollment

Based on the most recent information from CMS, provider Shanice Easter does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1902377534
Provider Type
Individual
Full Name
Easter, Shanice
Gender
Female

Sole Proprietor
No
Enumeration Date
12/7/2018
Last Updated
12/7/2018

Contact Information

Practice Location

211 Jackson St SW, Camden, AR 71701-3941

Unlisted Fax

Mailing Location

715 N College Ave, El Dorado, AR 71730-4403

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171M00000X Primary	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer