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NPI Code Detail

MEDICARE: PEARL ACADEMY, INC.

MEDICARE: PEARL ACADEMY, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251300000XLocal Education Agency (LEA)

General Provider Information

NPI Number : 1992123145
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEARL ACADEMY, INC.
Provider Business Mailing Address
First Line : 4850 PEARL ROAD
Second Line :
City : CLEVELAND
State : OH
Zip : 44109
Country : US
Telephone Number : 216-741-2991
Fax Number :
Provider Business Practice Location Address
First Line : 4850 PEARL ROAD
Second Line :
City : CLEVELAND
State : OH
Zip : 44109
Country : US
Telephone Number : 216-741-2991
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : CAROLINE GIOTTA
Credential :
Telephone Number : 216-349-0493
Provider Enumeration Date : 04/04/2014
Last Update Date : 04/04/2014

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Directions to “PEARL ACADEMY, INC. ” Practice Location

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