Professional Group Living, Llc in Henderson - Community/behavioral Health
Professional Group Living, Llc - NPI 1265620421
Professional Group Living, Llc is a Community/behavioral Health in Henderson, North Carolina. Professional Group Living, Llc practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Professional Group Living, Llc is 1265620421. The last update date is 2007-10-11.
Professional Group Living, Llc's current location address is 1775 Graham Ave, Henderson, North Carolina. You can contact this provider via phone number 9194755845. The mailing address for Professional Group Living, Llc is 1775 Graham Ave, Henderson, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Professional Group Living, Llc |
|---|---|
| Address | 1775 Graham Ave, Henderson, North Carolina |
| Phone Number | 9194755845 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Lock Massey A Natalka |
| Telephone Number | 9194755845 |
NPI Number Detail
| NPI Number | 1265620421 |
|---|---|
| Provider Enumeration Date | 2007-10-11 |
| Last Updated Date | 2007-10-11 |
Provider Mailing Address Detail
| Address | 1775 Graham Ave |
|---|---|
| City | Henderson |
| State | North Carolina (NC) |
| Post Code | 275365948 |
| Phone Number | 9194755845 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
|
Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8302074 | NC | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Professional Group Living, Llc by the Centers for Medicare & Medicaid Services?
The Professional Group Living, Llc has been issued the NPI (National Provider Identifier) 1265620421. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Professional Group Living, Llc is physically located?
The Professional Group Living, Llc is physically situated at the following address: 1775 Graham Ave, Henderson, NC, 275365948.
What is Professional Group Living, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Professional Group Living, Llc is Community/behavioral Health, and the taxonomy code that classifies this field of practice is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1265620421 to Professional Group Living, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1265620421 to Professional Group Living, Llc on 2007-10-11.
As of what date were the Professional Group Living, Llc's details last updated?
The information pertaining to the Professional Group Living, Llc, including its address, specialty, and other details, was most recently updated on 2007-10-11.
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