Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PROFESSIONAL GROUP LIVING, LLC
Active
Organization
PROFESSIONAL GROUP LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LLEWELLYN HICKS (DIRECTOR)
(919) 475-6124
Entity
Organization
Contact information
Practice address
122 S CENTER ST, GOLDSBORO, NC 27530-4829
(919) 735-2211
(919) 735-2277
Mailing address
510 SIMMONS ST, DURHAM, NC 27701-4334
(919) 688-0818
(919) 688-0918
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
8109498
NC
251S00000X
Community/Behavioral Health Agency
Primary
8109498
NC
Other
Enumeration date
03/19/2009
Last updated
03/19/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up