Organization
DONMACAN INC/DBA PROGRESS HOUSE
Active
Organization
DONMACAN INC/DBA PROGRESS HOUSE
Active
Other names
Progress House
Organization subpart
No
Provider details
NPI number
Authorized official
SWABY FLYNN (ADMINISTRATOR)
(321) 298-4652
Entity
Organization
Contact information
Practice address
1097 SANDY LN NE, PALM BAY, FL 32905-4622
(321) 298-4652
Mailing address
1097 SANDY LN NE, PALM BAY, FL 32905-4622
(321) 298-4652
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
687287596
—
FL
Enumeration date
01/25/2022
Last updated
01/25/2022
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