Individual ProviderKeith McdanielCase Manager/Care CoordinatorOther Service ProvidersPractice Address3300 Pennsylvania Ave SE, Washington, DC 20020-2408(202) 878-6626(202) 709-2728PECOS EnrollmentBased on the most recent information from CMS, provider Keith Mcdaniel 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 ID1609571454Provider TypeIndividualFull NameMcdaniel, KeithGenderMaleSole ProprietorYesEnumeration Date4/3/2023Last Updated6/14/2023Contact InformationPractice LocationPractice Address3300 Pennsylvania Ave SE, Washington, DC 20020-2408Phone(202) 878-6626FaxUnlisted FaxMailing LocationMailing Address4512 Payne Dr, Fort Washington, MD 20744-1151Phone(202) 709-2728FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode172V00000XDescriptionCommunity Health WorkerOther Service ProvidersLicenseUnlisted Issuer