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Organization
PROGRESSIVE 2000 HOME HEALTH CARE INC
Active
Organization
PROGRESSIVE 2000 HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. INNA SHUKHMAN REGISTERED NURSE (ADMINISTRATOR)
(323) 655-2011
Entity
Organization
Contact information
Practice address
948 N FAIRFAX AVE, SUITE 200, LOS ANGELES, CA 90046-7204
(323) 655-2011
(323) 655-2057
Mailing address
948 N FAIRFAX AVE, SUITE 200, LOS ANGELES, CA 90046-7204
(323) 655-2011
(323) 655-2057
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHA70283F
MEDI CAL
CA
Enumeration date
05/16/2006
Last updated
12/05/2007
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