Organization
PROFESSIONAL CARE COMMUNITY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESIA MEDLEY MSW (ADMINISTRATOR)
(704) 536-7326
Entity
Organization
Contact information
Practice address
3126 MILTON RD, SUITE 217, CHARLOTTE, NC 28215-3778
(704) 536-7326
(704) 536-7147
Mailing address
3126 MILTON RD, SUITE 217, CHARLOTTE, NC 28215-3778
(704) 536-7326
(704) 536-7147
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000
—
NC
Enumeration date
01/19/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us