Organization
PROGRESSIVE CHOICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RANDI E SANDIDGE (ADMINISTRATOR)
(702) 248-9484
Entity
Organization
Contact information
Practice address
3014 RIGEL AVE, LAS VEGAS, NV 89102-0709
(702) 248-9484
(702) 248-9447
Mailing address
3000 RIGEL AVE, LAS VEGAS, NV 89102-0709
(702) 218-7839
(702) 248-9447
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
N31-00006
NV
251C00000X
Developmentally Disabled Services Day Training Agency
NV19971181709
NV
385H00000X
Respite Care
Primary
385H00000X
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9005038318
API
NV
Enumeration date
02/18/2016
Last updated
02/23/2016
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