Individual ProviderTericka WatsonCommunity/Behavioral HealthAgenciesPractice Address830 N Summit St Ste 2, Toledo, OH 43604-1884(419) 693-9600PECOS EnrollmentBased on the most recent information from CMS, provider Tericka Watson 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 ID1366935819Provider TypeIndividualFull NameWatson, TerickaGenderFemaleSole ProprietorYesEnumeration Date6/10/2018Last Updated6/10/2018Contact 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