Organization · Type 2 NPI
Progressive Housing, Inc.
Intellectual Disabilities Intermediate Care Facility · East Peoria, IL
NPI number
1104983493
Active
Practice location
209 Harris Rd
East Peoria, IL 61611-4836
Mailing address
2020 W War Memorial Dr, Suite 103
Peoria, IL 61614-6754
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 0038240 (IL) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Other intellectual disabilities intermediate care facility providers in East Peoria
About NPI 1104983493
Progressive Housing, Inc.'s National Provider Identifier is 1104983493, issued on Jan 3, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in East Peoria, IL. The record was last updated on Aug 22, 2020.