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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
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