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NPI Code Detail

MEDICARE: PROGRESSIVE STEPS AND SOLUTIONS LLC

MEDICARE: PROGRESSIVE STEPS AND SOLUTIONS LLC
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
1347E00000XTransportation Broker

General Provider Information

NPI Number : 1619823580
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROGRESSIVE STEPS AND SOLUTIONS LLC
Provider Business Mailing Address
First Line : 240 FIELD PINE DR
Second Line :
City : BROWNS SUMMIT
State : NC
Zip : 27214-9778
Country : US
Telephone Number : 336-840-9609
Fax Number :
Provider Business Practice Location Address
First Line : 108 N FAYETTEVILLE ST STE C
Second Line :
City : LIBERTY
State : NC
Zip : 27298-3203
Country : US
Telephone Number : 336-840-9609
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DARA NATAKA ADESIMBO GRIMES
Credential : M.ED
Telephone Number : 336-840-9609
Provider Enumeration Date : 03/04/2026
Last Update Date : 04/11/2026

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Directions to “PROGRESSIVE STEPS AND SOLUTIONS LLC ” Practice Location

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