Mission Road Developmental Center
NPI #1295812600 in San Antonio, Texas
Provider Information
- NPI Number
- 1295812600
- Entity Type
- Organization
- Organization Name
- Mission Road Developmental Center
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 7520 S SEA LN
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78216-6677
- Phone
- (210) 377-1328
Authorized Official
- Name
- LORA BUTLER
- Title
- EXECUTIVE DIRECTOR
- Phone
- (210) 334-2460
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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