Organization
PROGRESSIVE HOME CARE SERVICES
Active
Organization
PROGRESSIVE HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA K. STEPHENS RPH (CEO)
(317) 578-0500
Entity
Organization
Contact information
Practice address
8930 BASH STREET, SUITE F, INDIANAPOLIS, IN 46256-1285
(317) 578-0500
(317) 578-0550
Mailing address
8930 BASH STREET, SUITE F, INDIANAPOLIS, IN 46256-1285
(317) 578-0500
(317) 578-0550
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
60004797A
IN
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
60004797B
IN
3336H0001X
Home Infusion Therapy Pharmacy
Primary
60004797A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200102140A
—
IN
Enumeration date
05/23/2006
Last updated
01/06/2009
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