Healthcare Provider Details

I. General information

NPI: 1700959129
Provider Name (Legal Business Name): DAISY MAY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2006
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: 801-560-2892
  • Fax: 801-566-6934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateUT

VIII. Authorized Official

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