Organization
MOUNT CALVARY HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISMAEL BARUCH PELAEZ (OWNER)
(210) 418-9334
Entity
Organization
Contact information
Practice address
1777 NE INTERSTATE 410 LOOP, STE. 669, SAN ANTONIO, TX 78217
(210) 418-9334
Mailing address
1777 NE INTERSTATE 410 LOOP, STE. 669, SAN ANTONIO, TX 78217
(210) 418-9334
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
11/20/2020
Last updated
12/06/2021
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