Progressive Long Term Care, LLC
NPI #1114916426 in Hawkinsville, Georgia
Provider Information
- NPI Number
- 1114916426
- Entity Type
- Organization
- Organization Name
- Progressive Long Term Care, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 19, 2005
- Last Updated
- Jan 3, 2008
Practice Location
- Address
- 704 COMMERCE ST
- City
- Hawkinsville
- State
- Georgia
- ZIP Code
- 31036-1004
- Phone
- (478) 892-9171
Authorized Official
- Name
- MR. RONNY G CRUMP
- Title
- PRESIDENT
- Phone
- (478) 892-9171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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