Organization
BRADFORD GARDENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD C COOKE (PRESIDENT)
(843) 759-0025
Entity
Organization
Contact information
Practice address
1108 N MAIN ST, MARION, SC 29571-2029
(843) 275-0083
Mailing address
1108 N MAIN ST, MARION, SC 29571-2029
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
RC1217
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RC1217
—
SC
Enumeration date
09/27/2007
Last updated
09/27/2007
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