Organization
METHODIST MISSION HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER SAMPLE (EXECUTIVE DIRECTOR)
(210) 696-2410
Entity
Organization
Contact information
Practice address
6487 WHITBY RD, SAN ANTONIO, TX 78240-2131
(210) 696-2410
(210) 699-1866
Mailing address
6487 WHITBY RD, SAN ANTONIO, TX 78240-2131
(210) 696-2410
(210) 699-1866
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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