Organization
PROGRESSIVE CARE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TREVOR T MACKINS (CEO)
(267) 271-4864
Entity
Organization
Contact information
Practice address
46 W MAPLEWOOD MALL, PHILADELPHIA, PA 19144-2810
(267) 271-4864
Mailing address
46 W MAPLEWOOD MALL, PHILADELPHIA, PA 19144-2810
(267) 271-4864
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
251E00000X
Home Health Agency
Primary
—
—
332U00000X
Home Delivered Meals
—
—
374U00000X
Home Health Aide
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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