Organization
PROGESS SUPPORT SERVICE INC.
Active
Organization
PROGESS SUPPORT SERVICE INC.
Active
Other names
Progrosive Support Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSENTLE ROOBERTHA SHAW (PRESIDENT)
(786) 274-3971
Entity
Organization
Contact information
Practice address
12320 NW 13TH CT, PEMBROKE PINES, FL 33026-3817
(786) 274-3971
Mailing address
12320 NW 13TH CT, PEMBROKE PINES, FL 33026-3817
(786) 274-3971
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
FL
Other
Enumeration date
08/08/2017
Last updated
08/30/2017
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