# PROGRESSIVE LIFESTYLES HOME HEALTHCARE, LLC

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

## Provider details

- **NPI number:** 1548629231
- **Authorized official:** SAMANTHA WALKER (CEO/OWNER)
- **Authorized official phone:** (478) 233-4611

## Contact information

- **Practice address:** 40 RG STARLEY RD, MC INTYRE, GA 31054-2259
- **Practice address phone:** (478) 946-0036
- **Mailing address:** PO BOX 163, IRWINTON, GA 31042-0163
- **Mailing address phone:** (478) 946-0036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/23/2016
- **Last updated:** 02/23/2016