Organization
ROAD RUNNER SHUTTLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA STEPHENS (OWNER)
(208) 359-1100
Entity
Organization
Contact information
Practice address
310 MOONLITE DR, APT 25, IDAHO FALLS, ID 83402-2359
(208) 359-1100
Mailing address
310 MOONLITE DR, APT 25, IDAHO FALLS, ID 83402-2359
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/14/2017
Last updated
01/14/2017
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