Individual ProviderReginald Stefan WatersCase Manager/Care CoordinatorOther Service ProvidersPractice Address5577 Airport Hwy Ste 200, Toledo, OH 43615-7364(419) 720-0442(419) 205-1701PECOS EnrollmentBased on the most recent information from CMS, provider Reginald Stefan Waters 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 ID1235943424Provider TypeIndividualFull NameWaters, Reginald StefanGenderMaleSole ProprietorYesEnumeration Date2/6/2025Last Updated3/31/2025Contact InformationPractice LocationPractice Address5577 Airport Hwy Ste 200, Toledo, OH 43615-7364Phone(419) 720-0442FaxUnlisted FaxMailing LocationMailing Address4842 Catalina Dr, Toledo, OH 43615-6114Phone(419) 205-1701FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer