Organization
PROGRESSIVE REHAB OF PA, INC.
Active
Organization
PROGRESSIVE REHAB OF PA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHIL R DAVIS (VICE PRESIDENT)
(404) 233-6500
Entity
Organization
Contact information
Practice address
112 E HARFORD ST, MILFORD, PA 18337-1002
(570) 296-5156
(570) 296-2592
Mailing address
5243 LITTLE DEBBIE PKWY STE 101, OOLTEWAH, TN 37363-4515
(040) 423-3500
(404) 233-9021
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
04/09/2024
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