Provider Demographics
NPI:1295598662
Name:PEARLS CENTER OF HOPE, INC
Entity type:Organization
Organization Name:PEARLS CENTER OF HOPE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:GAIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-215-3558
Mailing Address - Street 1:PO BOX 3212
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-8460
Mailing Address - Country:US
Mailing Address - Phone:804-215-3558
Mailing Address - Fax:
Practice Address - Street 1:11923 CENTRE ST STE A3
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-1702
Practice Address - Country:US
Practice Address - Phone:804-215-3558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health