Provider Demographics
NPI:1063627990
Name:PROGRESS UNLIMITED MEDICAL ADULT DAY PROGRAM AND WELLNESS CENTER
Entity Type:Organization
Organization Name:PROGRESS UNLIMITED MEDICAL ADULT DAY PROGRAM AND WELLNESS CENTER
Other - Org Name:PROGRESS UNLIMITED INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:GATTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-363-8550
Mailing Address - Street 1:11431 CRONHILL DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-2220
Mailing Address - Country:US
Mailing Address - Phone:410-363-8550
Mailing Address - Fax:410-356-2715
Practice Address - Street 1:11431 CRONHILL DR
Practice Address - Street 2:SUITE C
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-2220
Practice Address - Country:US
Practice Address - Phone:410-363-8550
Practice Address - Fax:410-356-2715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care