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Organization
DURDUR LLC
Active
Organization
DURDUR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED AHMED (CEO)
(619) 315-4708
Entity
Organization
Contact information
Practice address
5122 W STOKER LN, BOISE, ID 83703-3389
(619) 315-4708
Mailing address
5122 W STOKER LN, BOISE, ID 83703-3389
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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