NPI 1679791073

Progressive Habilitative Services, INC.

Organisation Developmentally Disabled Services Day Training Agency Laurel, MD

Practice location

Address: 13629 Baltimore Ave, Laurel, MD 20707-5095
Phone: (301) 317-9996
Fax: (301) 317-9988
Mailing address: 545 8th St SE, Washington, DC 20003-2897

Authorised official

Name: Maude Marie Koker
Title: President Ceo
Phone: (301) 317-9996

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in Maryland →

Registry record

NPI: 1679791073
Entity type: Organization
NPI issued: 23 Apr 2007
Record last updated: 21 Apr 2010

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.