Organization
PEARLS ANGEL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETTY WASHINGTON (DIRECTOR)
(910) 868-9363
Entity
Organization
Contact information
Practice address
1545 STACKHOUSE DR, FAYETTEVILLE, NC 28314-6356
(910) 868-9363
Mailing address
1545 STACKHOUSE DR, FAYETTEVILLE, NC 28314-6356
(910) 868-9363
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418665
—
NC
05
—
8301357
—
NC
05
—
8301357B
—
NC
Enumeration date
02/08/2007
Last updated
02/21/2013
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