Healthcare Provider Details

I. General information

NPI: 1164061982
Provider Name (Legal Business Name): MARGARET'S GARDEN ADULT DAYCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2019
Last Update Date: 12/26/2019
Certification Date: 12/26/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 BEATTY LN
AIKEN SC
29803-7600
US

IV. Provider business mailing address

119 BEATTY LN
AIKEN SC
29803-7600
US

V. Phone/Fax

Practice location:
  • Phone: 803-226-0099
  • Fax: 803-226-0229
Mailing address:
  • Phone: 803-226-0099
  • Fax: 803-226-0229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. DOREAN DELORES PRICE
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 304-228-7920