Individual ProviderChristine BlackSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1450 Alta Vista St, Dubuque, IA 52001-4327(563) 588-7156PECOS EnrollmentBased on the most recent information from CMS, provider Christine Black 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 yesterday at 10:50 AM.Profile DetailsProvider ID1932650702Provider TypeIndividualFull NameBlack, ChristineGenderFemaleSole ProprietorNoEnumeration Date10/17/2016Last Updated10/17/2016Contact InformationPractice LocationPractice Address1450 Alta Vista St, Dubuque, IA 52001-4327Phone(563) 588-7156FaxUnlisted FaxMailing LocationMailing Address1450 Alta Vista St, Dubuque, IA 52001-4327PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2255A2300XPrimaryDescriptionSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense075158Iowa