Whalio Doctors

NPI 1093581837

Progressive Homecare Services

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Maricopa, AZ

Practice location

Address
45720 W Tucker Rd, Maricopa, AZ 85139-6642
Phone
(480) 773-8480
Fax
(480) 546-3626
Mailing address
18585 N Falcon Ln, Maricopa, AZ 85138-3756

Authorised official

Name
Lyddia Getaweru
Title
Ceo/Owner
Phone
(480) 773-8480

Registered specialties (4)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X
Community Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QC1500X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320600000X

Registry record

NPI
1093581837
Entity type
Organization
NPI issued
4 Dec 2023
Record last updated
4 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.