Provider Demographics
NPI:1255065413
Name:PERKINS, ROYTESHIA NECHELLE
Entity type:Individual
Prefix:
First Name:ROYTESHIA
Middle Name:NECHELLE
Last Name:PERKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:849 LYNN CT
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-3973
Mailing Address - Country:US
Mailing Address - Phone:251-264-9020
Mailing Address - Fax:
Practice Address - Street 1:849 LYNN CT
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-3973
Practice Address - Country:US
Practice Address - Phone:251-264-9020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-13
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide