Organization
PROGRESSIVE HOME HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALID AHMAD HAWADLE (PRESIDENT / MANAGER)
(612) 407-6111
Entity
Organization
Contact information
Practice address
2933 11TH AVE S, MINNEAPOLIS, MN 55407-1314
(612) 407-6111
Mailing address
2933 11TH AVE S, MINNEAPOLIS, MN 55407-1314
(612) 407-6111
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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