Organization
MAVERICK ADULT DAY CARE LLC.
Active
Organization
MAVERICK ADULT DAY CARE LLC.
Active
Other names
Haven Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERARDO VILLALPANDO (CFO)
(830) 757-0966
Entity
Organization
Contact information
Practice address
2557 N VETERANS BLVD STE E, EAGLE PASS, TX 78852-3390
(830) 757-0966
(830) 757-0976
Mailing address
2557 N VETERANS BLVD STE E, EAGLE PASS, TX 78852-3390
(830) 757-0966
(830) 757-0976
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
009852
TX
251G00000X
Community Based Hospice Care Agency
Primary
009852
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001014120
—
TX
Enumeration date
07/06/2006
Last updated
01/15/2025
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