Provider Demographics
NPI:1336420520
Name:RED UNLIMITED LLC
Entity Type:Organization
Organization Name:RED UNLIMITED LLC
Other - Org Name:RED ENTERPRISES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:ELIJAH
Authorized Official - Last Name:DURHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-429-6277
Mailing Address - Street 1:4506 FM 1632
Mailing Address - Street 2:
Mailing Address - City:WOODVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75979-2338
Mailing Address - Country:US
Mailing Address - Phone:409-429-6277
Mailing Address - Fax:409-515-5093
Practice Address - Street 1:4506 FM 1632
Practice Address - Street 2:
Practice Address - City:WOODVILLE
Practice Address - State:TX
Practice Address - Zip Code:75979-2338
Practice Address - Country:US
Practice Address - Phone:409-429-6277
Practice Address - Fax:409-515-5093
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RED UNLIMITED LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-09-01
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty