Organization
MADELINE C FLORES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MADELINE C FLORES (OWNER)
(830) 980-9713
Entity
Organization
Contact information
Practice address
32016 JAY BIRD LN, BULVERDE, TX 78163-4635
(830) 980-9713
(830) 980-9713
Mailing address
32016 JAY BIRD LN, BULVERDE, TX 78163-4635
(830) 980-9713
(830) 980-9713
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
118881
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F50016200
—
TX
Enumeration date
05/07/2007
Last updated
06/15/2008
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