Individual ProviderJimmie GreenCommunity/Behavioral HealthAgenciesPractice Address830 N Summit St Ste 2, Toledo, OH 43604-1884(419) 693-9600PECOS EnrollmentBased on the most recent information from CMS, provider Jimmie Green 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 10:34 AM.Profile DetailsProvider ID1184120685Provider TypeIndividualFull NameGreen, JimmieGenderMaleSole ProprietorYesEnumeration Date4/3/2018Last Updated4/3/2018Contact InformationPractice LocationPractice Address830 N Summit St Ste 2, Toledo, OH 43604-1884Phone(419) 693-9600FaxUnlisted FaxMailing LocationMailing Address830 N Summit St Ste 2, Toledo, OH 43604-1884PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted Issuer