Individual ProviderMeshia ClarkCase Manager/Care CoordinatorOther Service ProvidersPractice Address514 Chickasawba St, Blytheville, AR 72315-2722(870) 824-2268PECOS EnrollmentBased on the most recent information from CMS, provider Meshia Clark 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 ID1730503475Provider TypeIndividualFull NameClark, MeshiaGenderFemaleSole ProprietorNoEnumeration Date2/18/2014Last Updated10/1/2018Contact InformationPractice LocationPractice Address514 Chickasawba St, Blytheville, AR 72315-2722Phone(870) 824-2268Fax(870) 824-2269Mailing LocationMailing Address514 Chickasawba St, Blytheville, AR 72315-2722Phone(870) 824-2268Fax(870) 824-2269Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer