Organization
MISSION ROAD DEVELOPMENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORA S. BUTLER (PRESIDENT, CEO)
(210) 334-2437
Entity
Organization
Contact information
Practice address
460 KOPPLOW PL, SAN ANTONIO, TX 78221-2921
(210) 921-9396
Mailing address
8706 MISSION RD, SAN ANTONIO, TX 78214-3140
(210) 924-9265
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
110298
TX
Other
Enumeration date
11/01/2006
Last updated
09/08/2025
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