Organization
PROFESSIONAL SERVICE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MCCANN (CEO)
(901) 650-4615
Entity
Organization
Contact information
Practice address
9 E LOOCKERMAN ST STE 3A, DOVER, DE 19901-7316
(901) 650-4615
(866) 207-5929
Mailing address
9 E LOOCKERMAN ST STE 3A, DOVER, DE 19901-7316
(901) 650-4615
(866) 207-5929
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/28/2006
Last updated
08/22/2020
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