Constance Debose | Blytheville, AR • PECOS Search

Constance Debose

Case Manager/Care Coordinator

Other Service Providers

1510 Byrum Rd, Blytheville, AR 72315-8033

PECOS Enrollment

Based on the most recent information from CMS, provider Constance Debose 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
1508242744
Provider Type
Individual
Full Name
Debose, Constance
Gender
Female

Sole Proprietor
No
Enumeration Date
8/10/2015
Last Updated
8/10/2015

Contact Information

Practice Location

1510 Byrum Rd, Blytheville, AR 72315-8033

Unlisted Fax

Mailing Location

1510 Byrum Rd, Blytheville, AR 72315-8033

Unlisted Fax

Provider Taxonomies

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