Individual ProviderMilton L MarshallCounselorBehavioral Health & Social Service ProvidersPractice Address916 Falconhead Ln, Unit 102, Las Vegas, NV 89128-4149(323) 898-8520PECOS EnrollmentBased on the most recent information from CMS, provider Milton L Marshall 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 6 days ago.Profile DetailsProvider ID1992132575Provider TypeIndividualFull NameMarshall, Milton LTitleMr.GenderMaleSole ProprietorYesEnumeration Date9/27/2013Last Updated9/27/2013Contact InformationPractice LocationPractice Address916 Falconhead Ln, Unit 102, Las Vegas, NV 89128-4149Phone(323) 898-8520FaxUnlisted FaxMailing LocationMailing Address916 Falconhead Ln, Unit 102, Las Vegas, NV 89128-4149PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer