Provider Demographics
NPI:1336829837
Name:REMEDY LLC
Entity Type:Organization
Organization Name:REMEDY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CORY
Authorized Official - Middle Name:DEVONNE
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:671-480-3968
Mailing Address - Street 1:PO BOX 7003
Mailing Address - Street 2:
Mailing Address - City:AGAT
Mailing Address - State:GU
Mailing Address - Zip Code:96928-0003
Mailing Address - Country:US
Mailing Address - Phone:671-480-3968
Mailing Address - Fax:
Practice Address - Street 1:132 AL DUNGCA ST
Practice Address - Street 2:A2
Practice Address - City:TAMUNING
Practice Address - State:GU
Practice Address - Zip Code:96913
Practice Address - Country:US
Practice Address - Phone:671-480-3968
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-19
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No332U00000XSuppliersHome Delivered Meals
No347C00000XTransportation ServicesPrivate Vehicle