Organization
MISSION ROAD DEVELOPMENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORA BUTLER (EXECUTIVE DIRECTOR)
(210) 334-2437
Entity
Organization
Contact information
Practice address
131 BURR RD, SAN ANTONIO, TX 78209-6217
(201) 828-1246
Mailing address
8706 MISSION RD, SAN ANTONIO, TX 78214-3140
(210) 924-9265
(210) 922-6006
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
105610
TX
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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