Organization
PROGRESSIVE HEALTHCARE PROVIDERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEON MOORE (DIRECTOR OF OPERATIONS)
(225) 767-2344
Entity
Organization
Contact information
Practice address
8280 YMCA PLAZA DR BLDG 9, BATON ROUGE, LA 70810-0927
(225) 767-2344
(225) 767-8068
Mailing address
8280 YMCA PLAZA DR BLDG 9, BATON ROUGE, LA 70810-0927
(225) 767-2344
(225) 767-8068
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
850
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1714151
—
LA
Enumeration date
05/11/2007
Last updated
08/22/2020
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