Progressive Life
NPI #1487610077 in Lewisville, Texas
Provider Information
- NPI Number
- 1487610077
- Entity Type
- Organization
- Organization Name
- Progressive Life
- Primary Specialty
- Intermediate Care Facility, Mental Illness
- Enumeration Date
- Apr 24, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1680 S EDMONDS LN
- City
- Lewisville
- State
- Texas
- ZIP Code
- 75067-5803
- Phone
- (972) 436-4538
Authorized Official
- Name
- MR. MIKE HAWKER
- Title
- CFO
- Phone
- (210) 340-7155
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Mental Illness |
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