NPI 1164735817

Progressive Habilitative Services, INC

Organisation Intellectual Disabilities Intermediate Care Facility Washington, DC

Practice location

Address: 6405 Chillum Pl NW, Washington, DC 20012-2133
Phone: (202) 545-0393
Fax: (202) 545-0392
Mailing address: 13629 Baltimore Ave, Laurel, MD 20707-5095

Authorised official

Name: Ramesh Gundu
Title: Accounts Manager
Phone: (301) 317-9996

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in District of Columbia →

Registry record

NPI: 1164735817
Entity type: Organization
NPI issued: 23 Jul 2010
Record last updated: 23 Sep 2015

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.