Jennica Bentley | Layton, UT • PECOS Search

Jennica Bentley

Community Health Worker

Other Service Providers

934 S Main St, Layton, UT 84041-7135

PECOS Enrollment

Based on the most recent information from CMS, provider Jennica Bentley does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 10:51 AM.

Profile Details

Provider ID
1013234186
Provider Type
Individual
Full Name
Bentley, Jennica
Gender
Female

Sole Proprietor
No
Enumeration Date
4/28/2010
Last Updated
6/28/2016

Contact Information

Practice Location

934 S Main St, Layton, UT 84041-7135

Unlisted Fax

Mailing Location

934 S Main St, Layton, UT 84041-7135

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 172V00000X Primary	Description Community Health Worker Other Service Providers	License Unlisted Issuer