Individual ProviderAnnette BallardSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2705 E 17th St, Ammon, ID 83406-6601(208) 346-7500PECOS EnrollmentBased on the most recent information from CMS, provider Annette Ballard 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 2 days ago.Profile DetailsProvider ID1750935532Provider TypeIndividualFull NameBallard, AnnetteGenderFemaleSole ProprietorNoEnumeration Date7/30/2019Last Updated7/30/2019Contact InformationPractice LocationPractice Address2705 E 17th St, Ammon, ID 83406-6601Phone(208) 346-7500Fax(208) 346-7501Mailing LocationMailing Address2705 E 17th St, Ammon, ID 83406-6601Phone(208) 346-7500Fax(208) 346-7501Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer