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Organization

PROGRESSIVE LIFE HOMEMAKER & COMPANION, INC

Active
Other names
Progressive Life Services
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LOURDES CAZOLA GUTIERREZ (PRESIDENT)
(786) 975-5108
Entity
Organization

Contact information

Practice address
10300 SW 72ND ST STE 447, MIAMI, FL 33173-3021
(786) 975-5108
(305) 960-7414
Mailing address
10300 SW 72ND ST STE 447, MIAMI, FL 33173-3021
(786) 975-5108
(305) 960-7414

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
253Z00000X
In Home Supportive Care Agency
Primary
21526
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
21526
STATE OF FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION REGISTRATION
FL
01
30212076
NURSE REGISTRY
FL
Enumeration date
04/02/2016
Last updated
12/03/2020
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