Individual ProviderLakershia DavisCase Manager/Care CoordinatorOther Service ProvidersPractice Address1510 Byrum Rd, Blytheville, AR 72315-8033(870) 532-2600(870) 819-0200PECOS EnrollmentBased on the most recent information from CMS, provider Lakershia Davis 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 ID1215482971Provider TypeIndividualFull NameDavis, LakershiaGenderFemaleSole ProprietorNoEnumeration Date8/23/2016Last Updated8/23/2016Contact InformationPractice LocationPractice Address1510 Byrum Rd, Blytheville, AR 72315-8033Phone(870) 532-2600FaxUnlisted FaxMailing LocationMailing Address3012 Turman Dr, Jonesboro, AR 72404-8998Phone(870) 819-0200FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer