Provider Demographics
NPI:1447979521
Name:PRECIOUS PEARLS LLC
Entity type:Organization
Organization Name:PRECIOUS PEARLS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / CEO
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:J
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-286-9900
Mailing Address - Street 1:222 W 21ST ST STE F-303
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23517-2200
Mailing Address - Country:US
Mailing Address - Phone:757-286-9900
Mailing Address - Fax:757-971-5233
Practice Address - Street 1:241 EXPRESSWAY CT STE 4
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-6526
Practice Address - Country:US
Practice Address - Phone:757-286-9900
Practice Address - Fax:757-971-5233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services