Organization
SHUDL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE M REDD (CFO)
(208) 240-3480
Entity
Organization
Contact information
Practice address
343 N 10TH AVE, POCATELLO, ID 83201-5254
(208) 240-3480
Mailing address
343 N 10TH AVE, POCATELLO, ID 83201-5254
(208) 240-3480
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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