Individual ProviderLatesha MatthewsCase Manager/Care CoordinatorOther Service ProvidersPractice Address3300 Pennsylvania Ave SE, Washington, DC 20020-2408(202) 878-6626(202) 910-8661PECOS EnrollmentBased on the most recent information from CMS, provider Latesha Matthews 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 today at 10:04 AM.Profile DetailsProvider ID1215624739Provider TypeIndividualFull NameMatthews, LateshaGenderFemaleSole ProprietorNoEnumeration Date4/24/2023Last Updated10/4/2024Contact InformationPractice LocationPractice Address3300 Pennsylvania Ave SE, Washington, DC 20020-2408Phone(202) 878-6626FaxUnlisted FaxMailing LocationMailing Address12902 Wheatland Way, Brandywine, MD 20613-8894Phone(202) 910-8661FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer