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Organization

PROGRESSIVE HOUSING, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROB KEIME (CFO)
(309) 685-0595
Entity
Organization

Contact information

Practice address
903 SALEM RD, MOUNT VERNON, IL 62864-3426
(618) 244-1385
Mailing address
2020 W WAR MEMORIAL DR, SUITE 103, PEORIA, IL 61614-6754
(309) 685-0595

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
97S002
IL

Other

Enumeration date
12/28/2006
Last updated
08/22/2020
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