Individual ProviderCharlisa BlackshearCase Manager/Care CoordinatorOther Service ProvidersPractice Address2737 Sweetbriar Ct, Toledo, OH 43615-1868(614) 599-9709PECOS EnrollmentBased on the most recent information from CMS, provider Charlisa Blackshear 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 ID1376397232Provider TypeIndividualFull NameBlackshear, CharlisaTitleMrs.GenderFemaleSole ProprietorYesEnumeration Date4/16/2024Last Updated7/10/2024Contact InformationPractice LocationPractice Address2737 Sweetbriar Ct, Toledo, OH 43615-1868Phone(614) 599-9709FaxUnlisted FaxMailing LocationMailing Address2737 Sweetbriar Ct, Toledo, OH 43615-1868Phone(614) 599-9709FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer