Organization
PROGRESSIVE LIFESTYLES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER J WILLIAMS (VICE PRESIDENT OF FINANCE)
(248) 607-6507
Entity
Organization
Contact information
Practice address
1370 N OAKLAND BLVD STE 150, WATERFORD, MI 48327-4526
(248) 607-6507
(248) 607-6507
Mailing address
1370 N OAKLAND BLVD STE 150, WATERFORD, MI 48327-4526
(248) 607-6507
(248) 336-9120
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251T00000X
PACE Provider Organization
—
—
Other
Enumeration date
05/04/2007
Last updated
04/07/2023
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