Provider Demographics
NPI:1588872477
Name:MAVERICK COUNTY ASSOCIATION FOR PERSONS WITH DISABILITIES
Entity type:Organization
Organization Name:MAVERICK COUNTY ASSOCIATION FOR PERSONS WITH DISABILITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HUMAN RESOURCE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARI
Authorized Official - Middle Name:V
Authorized Official - Last Name:DOVALINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-773-6044
Mailing Address - Street 1:2205 N VETERANS BLVD
Mailing Address - Street 2:
Mailing Address - City:EAGLE PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78852-3831
Mailing Address - Country:US
Mailing Address - Phone:830-773-6044
Mailing Address - Fax:830-773-5195
Practice Address - Street 1:2205 N VETERANS BLVD
Practice Address - Street 2:
Practice Address - City:EAGLE PASS
Practice Address - State:TX
Practice Address - Zip Code:78852-3831
Practice Address - Country:US
Practice Address - Phone:830-773-6044
Practice Address - Fax:830-773-5195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services