Provider Demographics
NPI:1629278684
Name:PERKINS ENTERPRISES, LLC
Entity Type:Organization
Organization Name:PERKINS ENTERPRISES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:MENEFIELD
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:832-208-4731
Mailing Address - Street 1:PO BOX 751562
Mailing Address - Street 2:10570 FUQUA ST
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77275-1562
Mailing Address - Country:US
Mailing Address - Phone:832-208-4731
Mailing Address - Fax:
Practice Address - Street 1:10570 FUQUA ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-1402
Practice Address - Country:US
Practice Address - Phone:832-208-4731
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services