Individual ProviderDanielle HallCase Manager/Care CoordinatorOther Service ProvidersPractice Address209 S Lockard St, Blytheville, AR 72315-2541(870) 763-2139PECOS EnrollmentBased on the most recent information from CMS, provider Danielle Hall 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 3 days ago.Profile DetailsProvider ID1710568936Provider TypeIndividualFull NameHall, DanielleGenderFemaleSole ProprietorNoEnumeration Date4/19/2021Last Updated4/19/2021Contact InformationPractice LocationPractice Address209 S Lockard St, Blytheville, AR 72315-2541Phone(870) 763-2139FaxUnlisted FaxMailing LocationMailing Address209 S Lockard St, Blytheville, AR 72315-2541PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer