Individual ProviderJennifer Ann CherryCase Manager/Care CoordinatorOther Service ProvidersPractice Address6715 Dorr St., Toledo, OH 43615(419) 868-1178PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Ann Cherry 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 ID1497255939Provider TypeIndividualFull NameCherry, Jennifer AnnGenderFemaleSole ProprietorNoEnumeration Date2/20/2018Last Updated11/16/2020Contact InformationPractice LocationPractice Address6715 Dorr St., Toledo, OH 43615Phone(419) 868-1178Fax(419) 868-1989Mailing LocationMailing AddressPO Box 400, Holland, OH 43528Phone(419) 868-1178Fax(419) 868-1989Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode2251S0007XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID0273615DescriptionMedicaidIssuerUnlistedOhio