NPI 1487610077

Progressive Life

Organisation Mental Illness Intermediate Care Facility Lewisville, TX

Practice location

Address: 1680 S Edmonds Ln, Lewisville, TX 75067-5803
Phone: (972) 436-4538
Mailing address: 845 Proton Rd, San Antonio, TX 78258-4203

Authorised official

Name: Mike Hawker
Title: Cfo
Phone: (210) 340-7155

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X Licence 006716 (TX)

Other Intermediate Care Facility, Mental Illness providers in Texas →

Registry record

NPI: 1487610077
Entity type: Organization
NPI issued: 24 Apr 2006
Record last updated: 22 Aug 2020

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.