Pearls Family Care Home # 4

LBN: Pearls Family Care Home # 4
Pearls Family Care Home # 4 is an health care organization with primary practice located at 102 Ash Place , Jacksonville NC 28546. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Pearls Family Care Home # 4 can be contacted via phone (910) 326-3526, or through Berry, Pearlie M via phone (910) 326-3526.

Contact Information

Primary practice address
102 Ash Place Jacksonville NC 28546
Phone: (910) 326-3526
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Berry, Pearlie M
Phone: (910) 326-3526

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 067014 North Carolina

Profile Details

NPI number 1174710529
LBN Legal business name Pearls Family Care Home # 4
DBA Doing business as
Authorized official Berry, Pearlie M
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2007
Last updated Jul 25th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174710529 NPPES
North Carolina MEDICAID 7804972

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