Individual ProviderDaniel Joseph GraySocial WorkerBehavioral Health & Social Service ProvidersPractice Address2450 E Fort Union Blvd, Cottonwood Heights, UT 84121-3337(801) 669-5888PECOS EnrollmentBased on the most recent information from CMS, provider Daniel Joseph Gray 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 2 days ago.Profile DetailsProvider ID1043032923Provider TypeIndividualFull NameGray, Daniel JosephGenderMaleSole ProprietorYesEnumeration Date10/30/2024Last Updated10/30/2024Contact InformationPractice LocationPractice Address2450 E Fort Union Blvd, Cottonwood Heights, UT 84121-3337Phone(801) 669-5888Fax(801) 669-5889Mailing LocationMailing Address2450 E Fort Union Blvd, Cottonwood Heights, UT 84121-3337Phone(801) 669-5888Fax(801) 669-5889Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense11923845-3501Utah