Provider Demographics
NPI:1134661739
Name:LADRU LLC
Entity Type:Organization
Organization Name:LADRU LLC
Other - Org Name:INTERIM HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:DRURY LAGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-600-7829
Mailing Address - Street 1:709 S FRONT ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-3887
Mailing Address - Country:US
Mailing Address - Phone:651-600-7829
Mailing Address - Fax:866-728-1120
Practice Address - Street 1:709 S FRONT ST
Practice Address - Street 2:SUITE 3
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-3887
Practice Address - Country:US
Practice Address - Phone:651-600-7829
Practice Address - Fax:866-728-1120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-14
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health