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Organization
PROGRESSIVE ALTERNATIVE LIVING, INC.
Active
Organization
PROGRESSIVE ALTERNATIVE LIVING, INC.
Active
Other names
PAL
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRI A. MARR (DIRECTOR)
(660) 584-2199
Entity
Organization
Contact information
Practice address
410 W BROADWAY ST, HIGGINSVILLE, MO 64037-1947
(660) 584-2199
(660) 584-3199
Mailing address
410 W BROADWAY ST, HIGGINSVILLE, MO 64037-1947
(660) 584-2199
(660) 584-3199
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
8530834180
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
853083400
—
MO
05
—
853083418
—
MO
Enumeration date
04/30/2008
Last updated
07/22/2008
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