Provider Demographics
NPI:1902252943
Name:PERSISGLOBAL
Entity Type:Organization
Organization Name:PERSISGLOBAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:LOIS
Authorized Official - Last Name:PERCY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-400-4655
Mailing Address - Street 1:1224 W 49TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72118-3916
Mailing Address - Country:US
Mailing Address - Phone:501-400-4655
Mailing Address - Fax:501-313-5378
Practice Address - Street 1:1224 W 49TH ST
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72118-3916
Practice Address - Country:US
Practice Address - Phone:501-400-4655
Practice Address - Fax:501-313-5378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-09
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR904123921343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR904123921Medicaid
AR26Medicaid