Provider Demographics
NPI:1417640236
Name:RDK UNLIMITED LLC
Entity Type:Organization
Organization Name:RDK UNLIMITED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:PETTIFORD
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:302-853-7752
Mailing Address - Street 1:1123 MULBERRY ST
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:PA
Mailing Address - Zip Code:19015-3045
Mailing Address - Country:US
Mailing Address - Phone:844-743-3735
Mailing Address - Fax:
Practice Address - Street 1:12600 S DUPONT HWY # 223
Practice Address - Street 2:
Practice Address - City:FELTON
Practice Address - State:DE
Practice Address - Zip Code:19943-4847
Practice Address - Country:US
Practice Address - Phone:844-743-3735
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-29
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)