# PROGRESSIVE RECOVERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124874755
- **Authorized official:** CHAZ HARRIS (OWNER)
- **Authorized official phone:** (716) 868-2429

## Contact information

- **Practice address:** 12161 MERCADO DR \# 213, VENICE, FL 34293-1147
- **Practice address phone:** (716) 868-2429
- **Mailing address:** 12161 MERCADO DR \# 213, VENICE, FL 34293-1147
- **Mailing address phone:** (716) 868-2429

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 04/25/2024
- **Last updated:** 04/25/2024