Organization
PROGRESSIVE LIFESTYLE RESOURCE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE TONI BERMINGHAM (ORGANIZATIONAL FOUNDER)
(415) 996-6208
Entity
Organization
Contact information
Practice address
8427 ROCK BOUND CT, ANTELOPE, CA 95843-5514
(415) 996-6208
Mailing address
4000 BURCHARD WAY, ROCKLIN, CA 95677-2373
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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