Organization
PROFESSIONAL GROUP LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NATALKA A LOCK MASSEY (CEO)
(919) 806-6726
Entity
Organization
Contact information
Practice address
510 SIMMONS ST, DURHAM, NC 27701-4334
(919) 806-6726
Mailing address
510 SIMMONS ST, DURHAM, NC 27701-4334
(919) 806-6726
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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