Individual ProviderSossity LewisCase Manager/Care CoordinatorOther Service ProvidersPractice Address829 E Main St, Blytheville, AR 72315-2521(870) 278-0101PECOS EnrollmentBased on the most recent information from CMS, provider Sossity Lewis 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 3 days ago.Profile DetailsProvider ID1366864456Provider TypeIndividualFull NameLewis, SossityGenderFemaleSole ProprietorYesEnumeration Date1/9/2014Last Updated1/9/2014Contact InformationPractice LocationPractice Address829 E Main St, Blytheville, AR 72315-2521Phone(870) 278-0101FaxUnlisted FaxMailing LocationMailing Address829 E Main St, Blytheville, AR 72315-2521Phone(870) 278-0101FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer