Organization Name: | PROGRESSIVE HEALTHCARE & COUNSELING SERVICES INC. |
NPI Number: | 1609269521 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LLEWELLYN HICKS (DIRECTOR) |
Mailing Address: | 4086 Barrett Dr Raleigh |
State: | NC US |
Postal Code: | 276096604 |
Phone Number: | 9195201783 |
Fax Number: | 8008755876 |
NPI Enumeration Date: | 03/17/2015 |
NPI Last Update Date: | 03/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 8109498 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |