Individual ProviderHanna KirkCase Manager/Care CoordinatorOther Service ProvidersPractice Address829 East Main St, Blytheville, AR 72315(870) 780-6986PECOS EnrollmentBased on the most recent information from CMS, provider Hanna Kirk 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 ID1154736635Provider TypeIndividualFull NameKirk, HannaGenderFemaleSole ProprietorYesEnumeration Date6/24/2014Last Updated6/24/2014Contact InformationPractice LocationPractice Address829 East Main St, Blytheville, AR 72315Phone(870) 780-6986Fax(870) 780-6987Mailing LocationMailing Address829 East Main St, Blytheville, AR 72315Phone(870) 780-6986Fax(870) 780-6987Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer