Provider Demographics
NPI:1558997312
Name:PERRODIN SERVICES LLC
Entity Type:Organization
Organization Name:PERRODIN SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRODIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-385-6687
Mailing Address - Street 1:PO BOX 711366
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77271-1366
Mailing Address - Country:US
Mailing Address - Phone:713-385-6687
Mailing Address - Fax:
Practice Address - Street 1:12306 SILO LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-3016
Practice Address - Country:US
Practice Address - Phone:713-385-6687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-12
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care