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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