Individual ProviderSavannah GrahamCase Manager/Care CoordinatorOther Service ProvidersPractice Address829 E Main St, Blytheville, AR 72315-2521(870) 780-6986PECOS EnrollmentBased on the most recent information from CMS, provider Savannah Graham 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 ID1063826261Provider TypeIndividualFull NameGraham, SavannahGenderFemaleSole ProprietorYesEnumeration Date6/16/2014Last Updated6/16/2014Contact InformationPractice LocationPractice Address829 E Main St, Blytheville, AR 72315-2521Phone(870) 780-6986Fax(870) 780-6987Mailing LocationMailing Address829 E Main St, Blytheville, AR 72315-2521Phone(870) 780-6986Fax(870) 780-6987Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer