Organization
PROGRESSIVE HOMECARE SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LLEWELLYN HICKS (PRESIDENT)
(919) 520-1783
Entity
Organization
Contact information
Practice address
4024 BARRETT DR, RALEIGH, NC 27609-6625
(919) 694-6402
(800) 875-5876
Mailing address
7013 MISSIONARY RIDGE DR, RALEIGH, NC 27610-6349
(919) 520-1783
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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