Organization
PROGRESSIVE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CASSANDRA R BOSTICK (SERVICE COORDINATOR)
(704) 258-5003
Entity
Organization
Contact information
Practice address
3623 LATROBE DR, SUITE 105, CHARLOTTE, NC 28211-4864
(704) 258-5003
Mailing address
3623 LATROBE DR, SUITE 105, CHARLOTTE, NC 28211-4864
(704) 258-5003
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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