=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740485481
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DAILY HEALTHCARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/20/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 105 N MAGNOLIA ST
-----------------------------------------------------
City | SUMTER
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29150-4941
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 803-773-6712
-----------------------------------------------------
Fax | 803-773-0097
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1009 CHESTNUT ST
-----------------------------------------------------
City | FLORENCE
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29501-4637
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 803-968-3452
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. RALPH ELBERT RADFORD JR.
-----------------------------------------------------
Credential | PHYSICAL THERAPIST
-----------------------------------------------------
Telephone | 803-968-3452
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 1207
-----------------------------------------------------
License Number State | SC
-----------------------------------------------------