Organization · Type 2 NPI
Progressive Housing
Intellectual Disabilities Intermediate Care Facility · East Peoria, IL
NPI number
1801952619
Active
Practice location
228 Briarbrook Dr
East Peoria, IL 61611-4434
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 | 0038232 (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 1801952619
Progressive Housing's National Provider Identifier is 1801952619, issued on Dec 28, 2006. 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.