Organization
PEARLS FAMILY CARE HOME # 4
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEARLIE M BERRY (ADM)
(910) 326-3526
Entity
Organization
Contact information
Practice address
102 ASH PLACE, JACKSONVILLE, NC 28546
(910) 326-3526
Mailing address
102 ASH COURT, JACKSONVILLE, NC 28546-9120
(910) 326-3526
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
067014
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804972
—
NC
Enumeration date
10/01/2007
Last updated
07/25/2008
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