# BRADFORD GARDENS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750578365
- **Authorized official:** MR. RICHARD C COOKE (PRESIDENT)
- **Authorized official phone:** (843) 759-0025

## Contact information

- **Practice address:** 1108 N MAIN ST, MARION, SC 29571-2029
- **Practice address phone:** (843) 275-0083
- **Mailing address:** 1108 N MAIN ST, MARION, SC 29571-2029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | RC1217 | SC | Yes |

## Other

- **Enumeration date:** 09/27/2007
- **Last updated:** 09/27/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | RC1217 | — | SC |