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Organization

PROGRESSIVE CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROCHELLE LANGLOIS (CEO)
(218) 313-1364
Entity
Organization

Contact information

Practice address
1614 GOLF COURSE RD, GRAND RAPIDS, MN 55744-8681
(218) 313-1364
Mailing address
1614 GOLF COURSE RD, GRAND RAPIDS, MN 55744-8681

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
A036622900
MN
05
A396987000
MN
05
A824642100
MN
Enumeration date
11/08/2016
Last updated
11/08/2016
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