Anita Outlaw Bah | Raleigh, NC • PECOS Search

Anita Outlaw Bah

Community/Behavioral Health

Agencies

8398 Six Forks Rd Ste 202, Raleigh, NC 27615-3059

PECOS Enrollment

Based on the most recent information from CMS, provider Anita Outlaw Bah does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1760175608
Provider Type
Individual
Full Name
Bah, Anita Outlaw
Gender
Female

Sole Proprietor
Yes
Enumeration Date
5/26/2023
Last Updated
5/27/2023

Contact Information

Practice Location

8398 Six Forks Rd Ste 202, Raleigh, NC 27615-3059

Unlisted Fax

Mailing Location

8398 Six Forks Rd Ste 202, Raleigh, NC 27615-3059

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 251S00000X Primary	Description Community/Behavioral Health Agencies	License Unlisted Issuer