| NPI | 1821084138 |
|---|---|
| Doing Business As | THE BRADFORD AT BROOKSIDE |
| Entity Type | Organization |
| Authorized Contact | ROBIN UNDERHILL Chief Executive 214-954-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 114558) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2008-12-19 |