Individual ProviderMitchell DaughertyCommunity Health WorkerOther Service ProvidersPractice Address934 S Main St, Layton, UT 84041-7135(801) 336-1845PECOS EnrollmentBased on the most recent information from CMS, provider Mitchell Daugherty 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 ID1184505588Provider TypeIndividualFull NameDaugherty, MitchellGenderMaleSole ProprietorYesEnumeration Date9/11/2025Last Updated9/11/2025Contact InformationPractice LocationPractice Address934 S Main St, Layton, UT 84041-7135Phone(801) 336-1845FaxUnlisted FaxMailing LocationMailing Address934 S Main St, Layton, UT 84041-7135Phone(801) 336-1845FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode172V00000XPrimaryDescriptionCommunity Health WorkerOther Service ProvidersLicenseUnlisted Issuer