Individual ProviderAnthony ByrdCommunity/Behavioral HealthAgenciesPractice Address2650 S Jones Blvd Ste 120, Las Vegas, NV 89146-5341(702) 214-2190(702) 444-9838PECOS EnrollmentBased on the most recent information from CMS, provider Anthony Byrd 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 5 days ago.Profile DetailsProvider ID1700387412Provider TypeIndividualFull NameByrd, AnthonyGenderMaleSole ProprietorYesEnumeration Date2/27/2018Last Updated2/27/2018Contact InformationPractice LocationPractice Address2650 S Jones Blvd Ste 120, Las Vegas, NV 89146-5341Phone(702) 214-2190FaxUnlisted FaxMailing LocationMailing Address6674 Brick House Ave, Las Vegas, NV 89122-8617Phone(702) 444-9838FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted Issuer