Organization
PROGRESSIVE FAMILY HOME CARE
Active
Organization
PROGRESSIVE FAMILY HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNA DELIA BROWN (OWNER)
(602) 565-2496
Entity
Organization
Contact information
Practice address
2437 E CHIPMAN RD, PHOENIX, AZ 85040-2629
(602) 323-9175
(602) 323-9179
Mailing address
7424 S 26TH DR, PHOENIX, AZ 85041-6473
(602) 565-2496
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
4421
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002640023
EVERCARE PROVIDER ID
AZ
05
—
825028
—
AZ
Enumeration date
05/10/2007
Last updated
08/05/2008
Update your record
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