Organization
PROGRESSIVE LIFESTYLES HOME HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA WALKER (CEO/OWNER)
(478) 233-4611
Entity
Organization
Contact information
Practice address
40 RG STARLEY RD, MC INTYRE, GA 31054-2259
(478) 946-0036
Mailing address
PO BOX 163, IRWINTON, GA 31042-0163
(478) 946-0036
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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