- Enrollment id
- O20100607000867
- Enrollment state
- AL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1912946708
- Multiple npi flag
- N
- Ccn
- 017323
- Associate id
- 2668365859
- Organization name
- MONROE COUNTY HEALTH CARE AUTHORITY
- Doing business as name
- MCH PROGRESSIVE HOME CARE
- Organization type structure
- OTHER
- Organization other type text
- HEALTHCARE AUTHORITY
- Proprietary nonprofit
- N
- Address line 1
- 2016 S ALABAMA AVE
- City
- MONROEVILLE
- State
- AL
- Zip code
- 364603044
- Practice location type
- HHA BRANCH