Organization
GRAND MADISON INC.
Active
Other names
Brickstone Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MUQEET DADABHOY (PRESIDENT)
(310) 251-2382
Entity
Organization
Contact information
Practice address
20551 MADISON ST, TORRANCE, CA 90503-3670
(310) 872-8456
Mailing address
PO BOX 7785, TORRANCE, CA 90504-9185
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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