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NPI Code Detail

MEDICARE: PROGRESSIVE RESOURCES, INC

MEDICARE: PROGRESSIVE RESOURCES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1326489873
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROGRESSIVE RESOURCES, INC
Provider Business Mailing Address
First Line : 9280 SANTA FE SPRINGS RD
Second Line :
City : SANTA FE SPRINGS
State : CA
Zip : 90670-2618
Country : US
Telephone Number : 562-665-1424
Fax Number : 562-946-3539
Provider Business Practice Location Address
First Line : 9280 SANTA FE SPRINGS RD
Second Line :
City : SANTA FE SPRINGS
State : CA
Zip : 90670-2618
Country : US
Telephone Number : 562-665-1424
Fax Number : 562-946-3539
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. UNA HAYES SHEPARD
Credential : LCSW
Telephone Number : 562-665-1424
Provider Enumeration Date : 07/12/2013
Last Update Date : 07/12/2013

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Directions to “PROGRESSIVE RESOURCES, INC ” Practice Location

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