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Organization
PROGRESSIVE HOME CARE FORT WORTH INC.
Active
Organization
PROGRESSIVE HOME CARE FORT WORTH INC.
Active
Other names
Progressive Home Care Fort Worth Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARREN H. BROWN (ALTERNATE ADMINISTRATOR)
(210) 543-9081
Entity
Organization
Contact information
Practice address
4425 IDA WAY, FORT WORTH, TX 76119-4065
(817) 534-9100
(210) 543-2989
Mailing address
244 COUNTY ROAD 2757, MICO, TX 78056-5469
(210) 543-9081
(210) 543-2989
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
011221
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011221
HCCSA LICENSE #
TX
Enumeration date
05/16/2007
Last updated
08/22/2020
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