Organization
PEARLS FAMILY CARE HOME #2
Active
Organization
PEARLS FAMILY CARE HOME #2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEARLIE M BERRY (ADM)
(910) 326-3526
Entity
Organization
Contact information
Practice address
107 ASH CT, JACKSONVILLE, NC 28546-8503
(910) 326-3526
Mailing address
674 SMITH RD, MAYSVILLE, NC 28555-9120
(910) 326-3526
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
067005
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801408
—
NC
Enumeration date
10/05/2007
Last updated
07/25/2008
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