Organization
BLAQ PEARL LLC
Active
Other names
Pearl's Place
Organization subpart
No
Provider details
NPI number
Authorized official
PEARL T WILLIAMS-SYLVAIN (MANAGER)
(813) 210-5535
Entity
Organization
Contact information
Practice address
14926 FISHER RD, TAMPA, FL 33613-1609
(813) 448-2235
Mailing address
30203 GOODWICK WAY, WESLEY CHAPEL, FL 33543-3961
(813) 210-5535
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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