Provider Demographics
NPI:1396274916
Name:PROGRESS HEALTHCARE LLC
Entity type:Organization
Organization Name:PROGRESS HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:UJUNWA
Authorized Official - Middle Name:
Authorized Official - Last Name:OKWUKAOGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-363-0058
Mailing Address - Street 1:118 FRANKLIN ST FL 3
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01902-4138
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:118 FRANKLIN ST FL 3
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01902-4138
Practice Address - Country:US
Practice Address - Phone:781-363-0058
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-07
Last Update Date:2017-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health