Organization
PRG CAP SERVICES
Active
Parent organization
PROGRESSIVE HOME CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROGRESSIVE HOME CARE
Authorized official
MRS. CHENITA SIMONE MOORE RN (DIRECTOR)
(704) 649-6522
Entity
Organization
Contact information
Practice address
8821 UNIVERSITY EAST DR, SUITE #115, CHARLOTTE, NC 28213-4200
(704) 649-6522
(704) 503-6250
Mailing address
8821 UNIVERSITY EAST DR, SUITE #115, CHARLOTTE, NC 28213-4200
(704) 649-6522
(704) 503-6250
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3843
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418725
—
NC
Enumeration date
03/23/2010
Last updated
03/23/2010
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