Individual ProviderDevin ClarkCase Manager/Care CoordinatorOther Service ProvidersPractice Address2124 Mlk Jr Ave SE, Washington, DC 20020(202) 563-7632PECOS EnrollmentBased on the most recent information from CMS, provider Devin Clark 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 10:04 AM.Profile DetailsProvider ID1366277485Provider TypeIndividualFull NameClark, DevinGenderFemaleSole ProprietorNoEnumeration Date9/6/2024Last Updated9/6/2024Contact InformationPractice LocationPractice Address2124 Mlk Jr Ave SE, Washington, DC 20020Phone(202) 563-7632FaxUnlisted FaxMailing LocationMailing Address2124 Mlk Jr Ave SE, Washington, DC 20020Phone(202) 563-7632FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer