Organization · Type 2 NPI

Progressive Life, Ltd

Intellectual Disabilities Intermediate Care Facility · Round Rock, TX

NPI number 1477860435 Active

Practice location

17016 Copperhead Dr
Round Rock, TX 78664-8616

Mailing address

2579 Western Trails Blvd
Austin, TX 78745-1578

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1477860435

Progressive Life, Ltd's National Provider Identifier is 1477860435, issued on Sep 10, 2010. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Round Rock, TX. The record was last updated on Sep 10, 2010.