OrganizationJeffrey M Warren(Jeffrey M Warren & Associates)Community/Behavioral HealthAgenciesPractice Address3749 Benson Dr, Ste A, Raleigh, NC 27609-7324(919) 497-7892PECOS EnrollmentBased on the most recent information from CMS, provider Jeffrey M Warren 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 43 days ago.Profile DetailsProvider ID1245561117Provider TypeOrganizationFull NameJeffrey M WarrenOther NameJeffrey M Warren & AssociatesSubpartNoEnumeration Date1/15/2010Last Updated1/15/2010Contact InformationPractice LocationPractice Address3749 Benson Dr, Ste A, Raleigh, NC 27609-7324Phone(919) 497-7892Fax(919) 324-3551Mailing LocationMailing Address936 Coral Bell Dr, Wake Forest, NC 27587-4396Phone(919) 497-7892Fax(919) 324-3551Authorized OfficialNameWarren, Jeffrey M (Clinical Supervisor)Phone(919) 497-7892Provider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicense6527North CarolinaProvider IdentifiersIDDescriptionIssuerID6103542DescriptionMedicaidIssuerUnlistedNorth Carolina