Organization
PROGRESSIVE HOUSING, INC.
Active
Other names
Aviston Terrace
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROB KEIME (CFO)
(309) 685-0595
Entity
Organization
Contact information
Practice address
349 W 1ST ST, AVISTON, IL 62216-3438
(618) 228-7040
Mailing address
2020 W WAR MEMORIAL DR, SUITE 103, PEORIA, IL 61614-6754
(309) 685-0595
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0038749
IL
Other
Enumeration date
12/28/2006
Last updated
08/22/2020
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