Individual ProviderTara StewartCase Manager/Care CoordinatorOther Service ProvidersPractice Address1510 Byrum Rd, Blytheville, AR 72315-8033(870) 532-2600(870) 762-5127PECOS EnrollmentBased on the most recent information from CMS, provider Tara Stewart 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 ID1013105923Provider TypeIndividualFull NameStewart, TaraGenderFemaleSole ProprietorYesEnumeration Date10/5/2007Last Updated10/5/2007Contact InformationPractice LocationPractice Address1510 Byrum Rd, Blytheville, AR 72315-8033Phone(870) 532-2600FaxUnlisted FaxMailing LocationMailing Address3808 Ncr 679 Lot 118, Blytheville, AR 72315Phone(870) 762-5127FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer