Healthcare Provider Details

I. General information

NPI: 1952468837
Provider Name (Legal Business Name): DAISYMAYINC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

163 E 7800 S
MIDVALE UT
84047-2612
US

IV. Provider business mailing address

10577 FEATHERWOOD DR
SOUTH JORDAN UT
84095-8622
US

V. Phone/Fax

Practice location:
  • Phone: 801-566-6934
  • Fax: 801-566-6934
Mailing address:
  • Phone: 801-569-2892
  • Fax: 801-566-6934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number StateUT

VIII. Authorized Official

Name: MRS. MARGARET DILLON DAVIS
Title or Position: ADMINISTRATOR
Credential: LPN
Phone: 801-560-2892