OrganizationProfessional Group Living, LlcCommunity/Behavioral HealthAgenciesPractice Address4084 Barrett Dr, Raleigh, NC 27609-6604(919) 785-9660PECOS EnrollmentBased on the most recent information from CMS, provider Professional Group Living, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1508020892Provider TypeOrganizationFull NameProfessional Group Living, LlcSubpartNoEnumeration Date7/15/2008Last Updated7/15/2008Contact InformationPractice LocationPractice Address4084 Barrett Dr, Raleigh, NC 27609-6604Phone(919) 785-9660FaxUnlisted FaxMailing LocationMailing Address4084 Barrett Dr, Raleigh, NC 27609-6604Phone(919) 785-9660FaxUnlisted FaxAuthorized OfficialNameLock Massey, Natalka (Cfo)Phone(919) 475-5845Provider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted Issuer