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 yesterday at 3:29 PM.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