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Progressive Life, Ltd
Intellectual Disabilities Intermediate Care Facility in Round Rock, Texas
NPI 1477860435

Progressive Life, Ltd is a Intellectual Disabilities Intermediate Care Facility based in Austin, TX. Progressive Life, Ltd practices in Round Rock, TX. The NPI Number for Progressive Life, Ltd is 1477860435 and holds a License No. (Texas).

The current practice location address for Progressive Life, Ltd is 17016 Copperhead Dr, Round Rock, TX and can be reached out via phone at 512-892-2191. You can also correspond with Progressive Life, Ltd through the mailing address at 2579 WESTERN TRAILS BLVD, AUSTIN, TX - 78745-1578 (mailing address contact number: 512-892-2191).

Location: 17016 Copperhead Dr, Round Rock, TX, 78745-1578
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477860435
Provider Name
Progressive Life, Ltd
Credential
Provider Entity Type
Organization
Address
17016 Copperhead Dr, Round Rock, TX, 78745-1578
Phone Number
512-892-2191
Fax Number
Provider Enumeration Date
09/10/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001008861 05 TX
institution
Provider Business Practice Location Address Details
Address
17016 Copperhead Dr
City
Round Rock
State
Texas
Zip
78664-8616
Phone Number
512-892-2191
Fax Number
person
Provider Business Mailing Address Details
Address
2579 Western Trails Blvd
City
Austin
State
Texas
Zip
78745-1578
Phone Number
512-892-2191
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
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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