Organization Name: | PROGRESSIONS HEALTH & BEAUTY |
NPI Number: | 1235331430 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VIOLET TROUT (CEO) |
Mailing Address: | 1070 Violet Ln 20 Medical Heights Louisa |
State: | KY US |
Postal Code: | 412309655 |
Phone Number: | 6066384333 |
Fax Number: | 6066384820 |
NPI Enumeration Date: | 06/01/2007 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |