institution
Progressive Alternative Living, Inc.
Intellectual Disabilities Intermediate Care Facility in Higginsville, Missouri
NPI 1093981052

Progressive Alternative Living, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Higginsville, MO. Progressive Alternative Living, Inc. practices in Higginsville, MO. The NPI Number for Progressive Alternative Living, Inc. is 1093981052 and holds a License No. 8530834180 (Missouri).

The current practice location address for Progressive Alternative Living, Inc. is 410 W Broadway St, Higginsville, MO and can be reached out via phone at 660-584-2199 and via fax at 660-584-3199.

Location: 410 W Broadway St, Higginsville, MO, 64037-1947
institution
Provider Profile Details
NPI Number
1093981052
Provider Name
Progressive Alternative Living, Inc.
Credential
Provider Entity Type
Organization
Address
410 W Broadway St, Higginsville, MO, 64037-1947
Phone Number
660-584-2199
Fax Number
660-584-3199
Provider Enumeration Date
04/30/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
853083400 05 MO
853083418 05 MO
institution
Provider Business Practice Location Address Details
Address
410 W Broadway St
City
State
Zip
64037-1947
Phone Number
660-584-2199
Fax Number
660-584-3199
person
Provider Business Mailing Address Details
Address
410 W Broadway St
City
State
Zip
64037-1947
Phone Number
660-584-2199
Fax Number
660-584-3199
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
8530834180 (Missouri)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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