Individual ProviderDavid PellomCase Manager/Care CoordinatorOther Service ProvidersPractice Address3300 Pennsylvania Ave SE, Washington, DC 20020-2408(202) 878-6626(202) 421-3901PECOS EnrollmentBased on the most recent information from CMS, provider David Pellom 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 yesterday at 10:04 AM.Profile DetailsProvider ID1104538370Provider TypeIndividualFull NamePellom, DavidGenderMaleSole ProprietorNoEnumeration Date12/20/2022Last Updated9/20/2024Contact InformationPractice LocationPractice Address3300 Pennsylvania Ave SE, Washington, DC 20020-2408Phone(202) 878-6626FaxUnlisted FaxMailing LocationMailing Address3341 Benning Rd NE, Washington, DC 20019-1502Phone(202) 421-3901Fax(202) 543-2758Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer