PROGESSIVE LIFE NPI 1366408312

NPI Information

PROGESSIVE LIFE is an intermediate care facility mental illness in San Antonio, TX. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. PROGESSIVE LIFE NPI is 1366408312. The provider is registered as an organization entity type.
The provider Other Name Is Progressive Bexar County.

The provider's business location address is:

835 PROTON RD
SAN ANTONIO, TX
ZIP 78258-203
Phone: (210) 558-3097
Fax: (210) 558-9791

The provider's authorized official is Mike Hawker .
The authorized official title is Cfo and has the following contact phone number (210) 340-7155.

The enumeration date for this NPI number is 4/26/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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