Provider Demographics
NPI:1437733607
Name:PEARL HEALTH CARE INC
Entity Type:Organization
Organization Name:PEARL HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGORI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-216-5310
Mailing Address - Street 1:2009 RUSSELL AVE
Mailing Address - Street 2:
Mailing Address - City:WOODLAWN
Mailing Address - State:MD
Mailing Address - Zip Code:21207-5216
Mailing Address - Country:US
Mailing Address - Phone:410-216-5310
Mailing Address - Fax:
Practice Address - Street 1:2009 RUSSELL AVE
Practice Address - Street 2:
Practice Address - City:WOODLAWN
Practice Address - State:MD
Practice Address - Zip Code:21207-5216
Practice Address - Country:US
Practice Address - Phone:410-216-5310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-12
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health