Provider Demographics
NPI:1447583190
Name:PERDIEM INC
Entity Type:Organization
Organization Name:PERDIEM INC
Other - Org Name:ABILITY REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DARRA
Authorized Official - Middle Name:A
Authorized Official - Last Name:KISER
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:606-834-9648
Mailing Address - Street 1:1816 US ROUTE 23 HALL BUILDING
Mailing Address - Street 2:SUITE A
Mailing Address - City:SOUTH SHORE
Mailing Address - State:KY
Mailing Address - Zip Code:41175
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1816 US RT 23 HALL BUILDING
Practice Address - Street 2:SUITE A
Practice Address - City:SOUTH SHORE
Practice Address - State:KY
Practice Address - Zip Code:41175-8103
Practice Address - Country:US
Practice Address - Phone:606-834-9648
Practice Address - Fax:606-836-7561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-14
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty