Organization · Type 2 NPI
Progressive Life
Mental Illness Intermediate Care Facility · Lewisville, TX
NPI number
1487610077
Active
Practice location
1680 S Edmonds Ln
Lewisville, TX 75067-5803
Mailing address
845 Proton Rd
San Antonio, TX 78258-4203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Intermediate Care Facility Primary | 310500000X | 006716 (TX) |
Mental Illness Intermediate Care Facility: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
Another provider at this address
Other mental illness intermediate care facility providers in Lewisville
About NPI 1487610077
Progressive Life's National Provider Identifier is 1487610077, issued on Apr 24, 2006. The primary taxonomy on file is Mental Illness Intermediate Care Facility (310500000X), and the practice location is in Lewisville, TX. The record was last updated on Aug 22, 2020.