Provider Demographics
NPI:1811868631
Name:PEARLS OF TARBORO
Entity type:Organization
Organization Name:PEARLS OF TARBORO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAQUETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-364-1712
Mailing Address - Street 1:308 PEARL ST
Mailing Address - Street 2:
Mailing Address - City:TARBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27886-2836
Mailing Address - Country:US
Mailing Address - Phone:910-364-1712
Mailing Address - Fax:
Practice Address - Street 1:308 PEARL ST
Practice Address - Street 2:
Practice Address - City:TARBORO
Practice Address - State:NC
Practice Address - Zip Code:27886-2836
Practice Address - Country:US
Practice Address - Phone:910-364-1712
Practice Address - Fax:910-364-1712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities