Pearl III Leasing Co, LLC

NPI #1417079021 in Parma, Ohio

Provider Information

NPI Number: 1417079021
Entity Type: Organization
Organization Name: Pearl III Leasing Co, LLC
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Enumeration Date: Apr 4, 2007
Last Updated: Dec 18, 2008

Practice Location

Address: 5608 PEARL RD
City: Parma
State: Ohio
ZIP Code: 44129-2547
Phone: (440) 888-1320

Authorized Official

Name: MS. SANDRA K HUBBARD
Title: DIR OF A/R
Phone: (513) 530-1327

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Intermediate Care Facility, Intellectual Disabilities	315P00000X	Primary

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