Progressive Residential Care LLC

NPI #1457641524 in Frisco, Texas

Provider Information

NPI Number: 1457641524
Entity Type: Organization
Organization Name: Progressive Residential Care LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Apr 11, 2011
Last Updated: Apr 11, 2011

Practice Location

Address: 11943 YOAKUM DR
City: Frisco
State: Texas
ZIP Code: 75035-2337
Phone: (214) 494-4508

Authorized Official

Name: MR. BALLIRAM RAMBALLY
Title: PRESIDENT
Phone: (631) 885-1994

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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