Provider Demographics
NPI:1760057905
Name:PERKINS PROFESSIONAL DAY CARE INC
Entity Type:Organization
Organization Name:PERKINS PROFESSIONAL DAY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ELRETHA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-613-5008
Mailing Address - Street 1:PO BOX 163
Mailing Address - Street 2:
Mailing Address - City:EDEN
Mailing Address - State:NC
Mailing Address - Zip Code:27289-0163
Mailing Address - Country:US
Mailing Address - Phone:336-613-5008
Mailing Address - Fax:
Practice Address - Street 1:1135 LAWSON ST
Practice Address - Street 2:
Practice Address - City:EDEN
Practice Address - State:NC
Practice Address - Zip Code:27288-5913
Practice Address - Country:US
Practice Address - Phone:336-627-8057
Practice Address - Fax:336-627-8057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)