Mark Davis | Reno, NV • PECOS Search

Mark Davis

Case Manager/Care Coordinator

Other Service Providers

1201 Terminal Way Ste 217, Reno, NV 89502-3258

PECOS Enrollment

Based on the most recent information from CMS, provider Mark Davis 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 2 days ago.

Profile Details

Provider ID
1962059816
Provider Type
Individual
Full Name
Davis, Mark
Gender
Male

Sole Proprietor
No
Enumeration Date
8/23/2019
Last Updated
8/23/2019

Contact Information

Practice Location

1201 Terminal Way Ste 217, Reno, NV 89502-3258

Unlisted Fax

Mailing Location

1201 Terminal Way Ste 217, Reno, NV 89502-3258

Unlisted Fax

Provider Taxonomies

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