# PRECIOUS PEARL GROUP HOME, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578603734
- **Authorized official:** MS. DELPHINA ANNETTE LEWIS B. S. DEGREE (EXECUTIVE DIR.)
- **Authorized official phone:** (336) 691-1609

## Contact information

- **Practice address:** 1000 ELWELL AVE, GREENSBORO, NC 27405-6112
- **Practice address phone:** (336) 691-1609
- **Mailing address:** 1000 ELWELL AVE, GREENSBORO, NC 27405-6112
- **Mailing address phone:** (336) 691-1609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | MHL-041-698 | NC | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3408821 | — | NC |
| 05 | — | 7803329 | — | NC |
| 05 | — | 8300228 | — | NC |