Pal

LBN: Progressive Alternative Living, Inc.
Pal is an health care organization with primary practice located at 410 W Broadway St , Higginsville MO 64037-1947. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Progressive Alternative Living, Inc. can be contacted via phone (660) 584-2199, or through Marr, Terri A. via phone (660) 584-2199.

Contact Information

Primary practice address
410 W Broadway St Higginsville MO 64037-1947
Phone: (660) 584-2199
Fax: (660) 584-3199
Website:
Map and Directions
Authorized official contact:
Name: Marr, Terri A.
Phone: (660) 584-2199

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 8530834180 Missouri

Profile Details

NPI number 1093981052
LBN Legal business name Progressive Alternative Living, Inc.
DBA Doing business as Pal
Authorized official Marr, Terri A.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2008
Last updated Jul 22nd, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093981052 NPPES
Missouri MEDICAID 853083400
Missouri MEDICAID 853083418

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