Organization
FAYETTE PROGRESSIVE INDUSTRIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SCHWARTZ (EXECUTIVE DIRECTOR)
(740) 313-7171
Entity
Organization
Contact information
Practice address
1330 ROBINSON ROAD SE, WASHINGTON COURT HOUSE, OH 43160
(740) 313-7171
Mailing address
1330 ROBINSON ROAD SE, WASHINGTON COURT HOUSE, OH 43160
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0161072
—
OH
Enumeration date
11/24/2020
Last updated
11/24/2020
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