Provider Demographics
NPI:1952468837
Name:DAISYMAYINC
Entity Type:Organization
Organization Name:DAISYMAYINC
Other - Org Name:ASCOTT MANOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:DILLON
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:801-560-2892
Mailing Address - Street 1:10577 FEATHERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-8622
Mailing Address - Country:US
Mailing Address - Phone:801-569-2892
Mailing Address - Fax:801-566-6934
Practice Address - Street 1:163 E 7800 S
Practice Address - Street 2:
Practice Address - City:MIDVALE
Practice Address - State:UT
Practice Address - Zip Code:84047-2612
Practice Address - Country:US
Practice Address - Phone:801-566-6934
Practice Address - Fax:801-566-6934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service