Organization
PEARLS ANGEL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY WASHINGTON (EXECUTIVE DIRECTOR)
(910) 257-6060
Entity
Organization
Contact information
Practice address
231 WESTLAKE RD, SUITE 202, FAYETTEVILLE, NC 28314-4861
(910) 257-6060
Mailing address
1545 STACKHOUSE DR, FAYETTEVILLE, NC 28314-6356
(910) 257-6060
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301357
—
NC
05
—
8301357G
—
NC
Enumeration date
09/07/2007
Last updated
09/12/2007
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