Individual ProviderVictoria ShanksCase Manager/Care CoordinatorOther Service ProvidersPractice Address1010 E 45th St, Shawnee, OK 74804-2202(405) 273-1170PECOS EnrollmentBased on the most recent information from CMS, provider Victoria Shanks 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 3 days ago.Profile DetailsProvider ID1992133201Provider TypeIndividualFull NameShanks, VictoriaCredentialCM IIGenderFemaleSole ProprietorYesEnumeration Date10/23/2013Last Updated1/29/2014Contact InformationPractice LocationPractice Address1010 E 45th St, Shawnee, OK 74804-2202Phone(405) 273-1170Fax(405) 275-5132Mailing LocationMailing Address1010 E 45th St, Shawnee, OK 74804-2202Phone(405) 273-1170Fax(405) 275-5132Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer