Provider Demographics
NPI:1598446619
Name:REZ EXPRESS LLC
Entity Type:Organization
Organization Name:REZ EXPRESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAREZ
Authorized Official - Middle Name:TYRELL
Authorized Official - Last Name:FLUTCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-724-2600
Mailing Address - Street 1:100 RUE SAINT FRANCOIS ST STE 215
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63031-5134
Mailing Address - Country:US
Mailing Address - Phone:314-801-8339
Mailing Address - Fax:314-801-8018
Practice Address - Street 1:100 RUE SAINT FRANCOIS ST STE 215
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63031-5134
Practice Address - Country:US
Practice Address - Phone:314-801-8339
Practice Address - Fax:314-801-8018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)