Healthcare Provider Details

I. General information

NPI: 1912835646
Provider Name (Legal Business Name): DOROTHY'S LOVELY PEARLS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

649 SILVER BEACH RD
RIVIERA BEACH FL
33403-3233
US

IV. Provider business mailing address

7875 MARGATE BLVD APT 105
MARGATE FL
33063-3012
US

V. Phone/Fax

Practice location:
  • Phone: 954-496-6957
  • Fax:
Mailing address:
  • Phone: 954-496-6957
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: NICOLA SPENCE-BURRELL
Title or Position: ADMINISTRATOR
Credential:
Phone: 954-496-6957