Organization
PROGRESSIVE NURSING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN M YOUNG RN (OWNER ADMINISTRATOR)
(208) 336-9898
Entity
Organization
Contact information
Practice address
1514 SHOSHONE ST, BOISE, ID 83705-2350
(208) 336-9898
(208) 344-0536
Mailing address
1514 SHOSHONE ST, BOISE, ID 83705-2350
(208) 336-9898
(208) 344-0536
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HH167
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02345
BLUE CROSS OF IDAHO
ID
01
—
10014662
REGENCE BLUE SHIELD
ID
Enumeration date
04/07/2006
Last updated
08/22/2020
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