Reshun N Wiggins | Blytheville, AR • PECOS Search

Reshun N Wiggins

Case Manager/Care Coordinator

Other Service Providers

209 S Lockard St, Blytheville, AR 72315-2541

(870) 763-2139 (479) 750-2020

PECOS Enrollment

Based on the most recent information from CMS, provider Reshun N Wiggins does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1467121921
Provider Type
Individual
Full Name
Wiggins, Reshun N
Gender
Female

Sole Proprietor
No
Enumeration Date
9/8/2021
Last Updated
9/8/2021

Contact Information

Practice Location

209 S Lockard St, Blytheville, AR 72315-2541

(870) 763-5056

Mailing Location

2400 S 48th St, Springdale, AR 72762-6683

(797) 504-8434

Provider Taxonomies

Code	Description	License
Code 171M00000X Primary	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer