Individual ProviderSamantha Elizabeth DavisStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address3000 Arlington Ave, Toledo, OH 43614-2595(567) 420-1613PECOS EnrollmentBased on the most recent information from CMS, provider Samantha Elizabeth Davis 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 today at 11:36 AM.Profile DetailsProvider ID1023646098Provider TypeIndividualFull NameDavis, Samantha ElizabethGenderFemaleSole ProprietorNoEnumeration Date3/27/2020Last Updated3/27/2020Contact InformationPractice LocationPractice Address3000 Arlington Ave, Toledo, OH 43614-2595Phone(567) 420-1613Fax(418) 383-6180Mailing LocationMailing Address3000 Arlington Ave, Toledo, OH 43614-2595Phone(567) 420-1613Fax(418) 383-6180Provider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer