Individual ProviderGrace AmidanCommunity Health WorkerOther Service ProvidersPractice Address2250 N Robins Dr, Layton, UT 84041-1140(801) 773-7060PECOS EnrollmentBased on the most recent information from CMS, provider Grace Amidan 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 ID1598505943Provider TypeIndividualFull NameAmidan, GraceGenderFemaleSole ProprietorYesEnumeration Date5/31/2024Last Updated9/22/2024Contact InformationPractice LocationPractice Address2250 N Robins Dr, Layton, UT 84041-1140Phone(801) 773-7060FaxUnlisted FaxMailing LocationMailing Address934 S Main St, Layton, UT 84041-7135Phone(801) 773-7060FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode172V00000XPrimaryDescriptionCommunity Health WorkerOther Service ProvidersLicenseUnlisted Issuer