Organization
MAESAVEALIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS YOUNG RN (OWNER)
(469) 556-6473
Entity
Organization
Contact information
Practice address
23006 POST OAK PARK, SAN ANTONIO, TX 78264-4600
(210) 762-7257
Mailing address
23006 POST OAK PARK, SAN ANTONIO, TX 78264-4600
(210) 762-7257
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
03/25/2024
Last updated
04/11/2024
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