Organization Name: | RED UNLIMITED LLC |
NPI Number: | 1336420520 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RANDY ELIJAH DURHAM (OWNER) |
Mailing Address: | 4506 Fm 1632 Woodville |
State: | TX US |
Postal Code: | 759792338 |
Phone Number: | 4094296277 |
Fax Number: | 4095155093 |
NPI Enumeration Date: | 09/01/2011 |
NPI Last Update Date: | 09/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171WH0202X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Contractor |
Taxonomy Specialization: | Home Modifications |
Taxonomy Definition: |