Organization
PRECIOUS PEARL GROUP HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DELPHINA ANNETTE LEWIS B. S. DEGREE (EXECUTIVE DIR.)
(336) 691-1609
Entity
Organization
Contact information
Practice address
1000 ELWELL AVE, GREENSBORO, NC 27405-6112
(336) 691-1609
Mailing address
1000 ELWELL AVE, GREENSBORO, NC 27405-6112
(336) 691-1609
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
MHL-041-698
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408821
—
NC
05
—
7803329
—
NC
05
—
8300228
—
NC
Enumeration date
02/07/2007
Last updated
08/22/2020
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