Organization
THE PROGRESSIVE HEALTH CARE GROUP, INC.
Active
Other names
Shady Lawn RCF
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS HUDSPETH (COO/CFO)
(573) 392-0316
Entity
Organization
Contact information
Practice address
13277 STATE ROUTE D, SAVANNAH, MO 64485-9431
(816) 324-5991
(816) 324-3556
Mailing address
PO BOX 277, SAVANNAH, MO 64485-0277
(816) 324-5991
(816) 324-3556
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
031268
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16237161
STATE ID
MO
Enumeration date
09/26/2005
Last updated
08/22/2020
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