Individual ProviderCarla Yaje ManchoRegistered NurseNursing Service ProvidersPractice Address7506 Georgia Ave NW, Washington, DC 20012-1608(202) 291-6973(240) 328-0552PECOS EnrollmentBased on the most recent information from CMS, provider Carla Yaje Mancho 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 4 days ago.Profile DetailsProvider ID1972176543Provider TypeIndividualFull NameMancho, Carla YajeCredentialRN/BSNGenderFemaleSole ProprietorYesEnumeration Date7/21/2021Last Updated10/13/2021Contact InformationPractice LocationPractice Address7506 Georgia Ave NW, Washington, DC 20012-1608Phone(202) 291-6973FaxUnlisted FaxMailing LocationMailing Address6735 Serviceberry Dr, Frederick, MD 21703-7996Phone(240) 328-0552FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicenseR242641MarylandCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicenseRN1052839District of Columbia