Provider Demographics
NPI:1093920308
Name:PERRY COUNTY SERVICES, INC.
Entity Type:Organization
Organization Name:PERRY COUNTY SERVICES, INC.
Other - Org Name:347B00000X
Other - Org Type:Other Name
Authorized Official - Title/Position:GENERAL MANAGER EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:GILMER
Authorized Official - Suffix:SR
Authorized Official - Credentials:DIRECTOR
Authorized Official - Phone:573-547-1047
Mailing Address - Street 1:618 INDUSTRIAL DR
Mailing Address - Street 2:
Mailing Address - City:PERRYVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63775-1200
Mailing Address - Country:US
Mailing Address - Phone:573-547-1047
Mailing Address - Fax:573-547-7840
Practice Address - Street 1:618 INDUSTRIAL DR
Practice Address - Street 2:
Practice Address - City:PERRYVILLE
Practice Address - State:MO
Practice Address - Zip Code:63775-1200
Practice Address - Country:US
Practice Address - Phone:573-547-1047
Practice Address - Fax:573-547-7840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOWS-1347B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347B00000XTransportation ServicesBus