Individual ProviderKyla GladeSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5965 S 900 E, Murray, UT 84121-1720(801) 263-7138PECOS EnrollmentBased on the most recent information from CMS, provider Kyla Glade 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 ID1982853420Provider TypeIndividualFull NameGlade, KylaGenderFemaleSole ProprietorNoEnumeration Date9/9/2008Last Updated4/13/2015Contact InformationPractice LocationPractice Address5965 S 900 E, Murray, UT 84121-1720Phone(801) 263-7138FaxUnlisted FaxMailing LocationMailing Address5965 S 900 E, Murray, UT 84121-1720Phone(801) 263-7138FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer