Individual ProviderGavin James DavisCommunity Health WorkerOther Service ProvidersPractice Address934 S Main St, Layton, UT 84041-7135(801) 773-7060(801) 897-5604PECOS EnrollmentBased on the most recent information from CMS, provider Gavin James 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 yesterday at 10:51 AM.Profile DetailsProvider ID1083295190Provider TypeIndividualFull NameDavis, Gavin JamesGenderMaleSole ProprietorNoEnumeration Date4/20/2021Last Updated4/17/2023Contact InformationPractice LocationPractice Address934 S Main St, Layton, UT 84041-7135Phone(801) 773-7060Fax(801) 336-1787Mailing LocationMailing Address283 E 300 S, Centerville, UT 84014-2258Phone(801) 897-5604Fax(801) 992-8508Provider TaxonomiesCodeDescriptionLicenseCode172V00000XPrimaryDescriptionCommunity Health WorkerOther Service ProvidersLicenseUnlisted IssuerCode106S00000XDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer