Organization
PROGRESSIVE PERSONAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY M REYNOLDS (OWNER)
(406) 251-9333
Entity
Organization
Contact information
Practice address
1921 OXFORD ST, MISSOULA, MT 59801-6640
(406) 251-9333
(406) 543-6043
Mailing address
1921 OXFORD ST, MISSOULA, MT 59801-6640
(406) 251-9333
(406) 543-6043
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
385H00000X
Respite Care
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0470781
—
MT
05
—
0601443
—
MT
05
—
PCG653
—
AK
Enumeration date
01/31/2007
Last updated
01/21/2009
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