Organization
THE MADERA CORP
Active
Other names
The Bradford House
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA JEANE MADERA LICENSED VOCATIONAL (VICE PRES SEC TREASURY)
(903) 843-7601
Entity
Organization
Contact information
Practice address
1704 NORTH BRADFORD ST, GILMER, TX 75644
(903) 843-7601
(903) 843-4871
Mailing address
1704 NORTH BRADFORD ST, GILMER, TX 75644
(903) 843-7601
(903) 843-4871
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
113958
TX
Other
Enumeration date
03/30/2007
Last updated
08/22/2020
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