Organization
PROGRESSIVE HOUSING, INC.
Active
Other names
Park Place
Organization subpart
No
Provider details
NPI number
Authorized official
ROB KEIME (CFO)
(309) 685-0595
Entity
Organization
Contact information
Practice address
205 N PARK AVE, PANA, IL 62557-1230
(217) 562-7023
Mailing address
2020 W WAR MEMORIAL DR, SUITE 103, PEORIA, IL 61614-6754
(309) 686-0595
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0040360
IL
Other
Enumeration date
12/28/2006
Last updated
08/22/2020
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