Provider Demographics
NPI:1306604335
Name:PEARL CARE ASSISTED LIVING INC
Entity type:Organization
Organization Name:PEARL CARE ASSISTED LIVING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/ OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DORIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DANILIUC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-256-9400
Mailing Address - Street 1:8523 WINDING WAY
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-6236
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8523 WINDING WAY
Practice Address - Street 2:
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-6236
Practice Address - Country:US
Practice Address - Phone:916-256-9400
Practice Address - Fax:916-200-0602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-13
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty