NPI 1114018645
Professional Service Group LLC
Practice location
- Address
- 9 E Loockerman St STE 3a, Dover, DE 19901-7316
- Phone
- (901) 650-4615
- Fax
- (866) 207-5929
Authorised official
- Name
- Michael McCann
- Title
- Ceo
- Phone
- (901) 650-4615
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1114018645
- Entity type
- Organization
- NPI issued
- 28 Sep 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.