Organization · Type 2 NPI
Progressive Housing, Inc.
Intellectual Disabilities Intermediate Care Facility · Evansville, IL
NPI number
1407912215
Active
Practice location
801 Market St
Evansville, IL 62242-1873
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 | 1777972 (IL) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1407912215
Progressive Housing, Inc.'s National Provider Identifier is 1407912215, issued on Dec 28, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Evansville, IL. The record was last updated on Aug 22, 2020.