Individual ProviderLatasha LockettCase Manager/Care CoordinatorOther Service ProvidersPractice Address5577 Airport Hwy Ste 102, Toledo, OH 43615-7364(419) 214-1770PECOS EnrollmentBased on the most recent information from CMS, provider Latasha Lockett 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 7 days ago.Profile DetailsProvider ID1124735535Provider TypeIndividualFull NameLockett, LatashaGenderFemaleSole ProprietorYesEnumeration Date11/4/2022Last Updated11/4/2022Contact InformationPractice LocationPractice Address5577 Airport Hwy Ste 102, Toledo, OH 43615-7364Phone(419) 214-1770Fax(419) 214-0922Mailing LocationMailing Address5577 Airport Hwy Ste 102, Toledo, OH 43615-7364Phone(419) 214-1770Fax(419) 214-0922Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer