Organization
PEARL MEDICAL PRACTICE PLLC
Active
Parent organization
PEARL MEDICAL PRACTICE PLLC
Other names
New Dawn Recovery Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEARL MEDICAL PRACTICE PLLC
Authorized official
DR. OSAWARU OMORUYI MD (CEO)
(502) 456-0494
Entity
Organization
Contact information
Practice address
2615 DIXIE HWY, LOUISVILLE, KY 40216-5203
(502) 338-2964
Mailing address
2202 BUECHEL AVE, LOUISVILLE, KY 40218-2672
(502) 456-0494
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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