| NPI | 1235828559 |
|---|---|
| Former Legal Business Name | PEARTREE HEALTH CARE |
| Entity Type | Organization |
| Authorized Contact | KHALID DEANDRE PEARTREE Owner 757-561-9876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2023-05-03 |