| NPI | 1730124488 |
|---|---|
| Doing Business As | PROGRESSIVE CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | RICHARD EUGENE BOYTER Administrator 318-212-6461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 284) |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2008-12-01 |