Individual ProviderRaquail CarterCase Manager/Care CoordinatorOther Service ProvidersPractice Address1008 Venice Ave, Hammond, LA 70403-5454(985) 662-3799PECOS EnrollmentBased on the most recent information from CMS, provider Raquail Carter 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 8 days ago.Profile DetailsProvider ID1942791009Provider TypeIndividualFull NameCarter, RaquailGenderFemaleSole ProprietorYesEnumeration Date5/24/2018Last Updated2/1/2021Contact InformationPractice LocationPractice Address1008 Venice Ave, Hammond, LA 70403-5454Phone(985) 662-3799FaxUnlisted FaxMailing LocationMailing Address1008 Venice Ave, Hammond, LA 70403-5454Phone(985) 662-3799FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer