Provider Demographics
NPI:1275168635
Name:GUTI EXPRESS REHAB LLC
Entity Type:Organization
Organization Name:GUTI EXPRESS REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:GUTIERREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-826-2468
Mailing Address - Street 1:21075 FM 362 RD
Mailing Address - Street 2:
Mailing Address - City:WALLER
Mailing Address - State:TX
Mailing Address - Zip Code:77484-6197
Mailing Address - Country:US
Mailing Address - Phone:281-826-2468
Mailing Address - Fax:
Practice Address - Street 1:21075 FM 362 RD
Practice Address - Street 2:
Practice Address - City:WALLER
Practice Address - State:TX
Practice Address - Zip Code:77484-6197
Practice Address - Country:US
Practice Address - Phone:281-826-2468
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LEND-A-HAND CARE AND TRANSPORT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-03-06
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)