Individual ProviderMary AmaniampongSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1430 Main St, Waltham, MA 02451-1623(508) 414-4098PECOS EnrollmentBased on the most recent information from CMS, provider Mary Amaniampong 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 10:04 AM.Profile DetailsProvider ID1497128771Provider TypeIndividualFull NameAmaniampong, MaryGenderFemaleSole ProprietorYesEnumeration Date11/9/2015Last Updated11/9/2015Contact InformationPractice LocationPractice Address1430 Main St, Waltham, MA 02451-1623Phone(508) 414-4098FaxUnlisted FaxMailing LocationMailing Address84 Vernon St, Apt.2, Worcester, MA 01610-1932Phone(508) 414-4098FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer