Professional Group Living

LBN: Professional Group Living
Professional Group Living is an health care organization with primary practice located at 510 Simmons St , Durham NC 27701-4334. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Professional Group Living can be contacted via phone (919) 688-0818, or through Lock Massey, Natalka Aquinairia via phone (919) 264-1440.

Contact Information

Primary practice address
510 Simmons St Durham NC 27701-4334
Phone: (919) 688-0818
Fax: (010) 688-0918
Website:
Map and Directions
Authorized official contact:
Name: Lock Massey, Natalka Aquinairia MSW, PLCSW
Phone: (919) 264-1440

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1487702619
LBN Legal business name Professional Group Living
DBA Doing business as
Authorized official Lock Massey, Natalka Aquinairia MSW, PLCSW
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2007
Last updated Feb 6th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487702619 NPPES
North Carolina MEDICAID 8301532

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