Individual ProviderMelissa PatrickCommunity/Behavioral HealthAgenciesPractice Address2725 S Jones Blvd Ste 109, Las Vegas, NV 89146-5605(702) 758-2992PECOS EnrollmentBased on the most recent information from CMS, provider Melissa Patrick 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 38 days ago.Profile DetailsProvider ID1386121614Provider TypeIndividualFull NamePatrick, MelissaGenderFemaleSole ProprietorYesEnumeration Date7/19/2018Last Updated7/19/2018Contact InformationPractice LocationPractice Address2725 S Jones Blvd Ste 109, Las Vegas, NV 89146-5605Phone(702) 758-2992FaxUnlisted FaxMailing LocationMailing Address2725 S Jones Blvd Ste 109, Las Vegas, NV 89146-5605Phone(702) 758-2992FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted Issuer