Individual ProviderDewayne LoveCase Manager/Care CoordinatorOther Service ProvidersPractice Address3300 Pennsylvania Ave SE, Washington, DC 20020-2408(202) 876-6626(240) 521-8446PECOS EnrollmentBased on the most recent information from CMS, provider Dewayne Love 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 ID1265132237Provider TypeIndividualFull NameLove, DewayneGenderMaleSole ProprietorYesEnumeration Date3/7/2023Last Updated6/6/2023Contact InformationPractice LocationPractice Address3300 Pennsylvania Ave SE, Washington, DC 20020-2408Phone(202) 876-6626FaxUnlisted FaxMailing LocationMailing Address6816 Sand Cherry Way, Clinton, MD 20735-4247Phone(240) 521-8446FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode172V00000XDescriptionCommunity Health WorkerOther Service ProvidersLicenseUnlisted IssuerCode251S00000XDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted Issuer