Mission Road Developmental Center
NPI #1780761171 in San Antonio, Texas
Provider Information
- NPI Number
- 1780761171
- 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
- 131 BURR RD
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78209-6217
- Phone
- (201) 828-1246
Authorized Official
- Name
- MS. LORA BUTLER
- Title
- EXECUTIVE DIRECTOR
- Phone
- (210) 334-2437
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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