MISSION ROAD DEVELOPMENTAL CENTER NPI 1295812600

NPI Information

NPI: 1295812600
Provider Name: MISSION ROAD DEVELOPMENTAL CENTER
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
7520 S SEA LN
SAN ANTONIO, TX
ZIP 78216
Phone: (210) 377-1328
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MISSION ROAD DEVELOPMENTAL CENTER is an intermediate care facility mentally retarded in San Antonio, TX. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. MISSION ROAD DEVELOPMENTAL CENTER NPI is 1295812600. The provider is registered as an organization entity type.

The provider's business location address is:

7520 S SEA LN
SAN ANTONIO, TX
ZIP 78216-677
Phone: (210) 377-1328

The provider's authorized official is Lora Butler .
The authorized official title is Executive Director and has the following contact phone number (210) 334-2460.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		108871	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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