# PROGRESSIVE SERVICES OF VIRGINIA LLC

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

## Provider details

- **NPI number:** 1477198760
- **Authorized official:** MRS. GEORGIANA SMITH B.A, MHA (DIRECTOR)
- **Authorized official phone:** (757) 343-9573

## Contact information

- **Practice address:** 5040 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23462-6637
- **Practice address phone:** (757) 343-9573
- **Practice address fax:** (757) 257-0544
- **Mailing address:** 5040 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23462-6637
- **Mailing address phone:** (757) 343-9573
- **Mailing address fax:** (757) 257-0544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/11/2019
- **Last updated:** 11/11/2019