PRECIOUS PEARL GROUP HOME, INC.
Adult Care Home
Greensboro, North Carolina
Provider NPI: 1578603734
Organization Information:Organization Name: PRECIOUS PEARL GROUP HOME, INC.
Practice Location:
1000 ELWELL AVE GREENSBORO, NC 27405 US
Tel: 336-691-1609 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1000 ELWELL AVE GREENSBORO, NC 27405 US
Tel: 336-691-1609 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | NC | MHL-041-698 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
8300228 | NC | 05 | |
7803329 | NC | 05 | |
3408821 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin