Organization
PROGRESSIVE RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BALLIRAM RAMBALLY (PRESIDENT)
(631) 885-1994
Entity
Organization
Contact information
Practice address
11943 YOAKUM DR, FRISCO, TX 75035-2337
(214) 494-4508
(214) 494-4508
Mailing address
11943 YOAKUM DR, FRISCO, TX 75035-2337
(214) 494-4508
(214) 494-4508
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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