Provider Demographics
NPI:1902657042
Name:REESE EXPRESS TRANSPORTATION LLC
Entity Type:Organization
Organization Name:REESE EXPRESS TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MAURICE
Authorized Official - Middle Name:B
Authorized Official - Last Name:PORTER
Authorized Official - Suffix:JR
Authorized Official - Credentials:LICENSED
Authorized Official - Phone:501-708-6922
Mailing Address - Street 1:7600 S UNIVERSITY AVE STE 14
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72209-3733
Mailing Address - Country:US
Mailing Address - Phone:501-708-6922
Mailing Address - Fax:
Practice Address - Street 1:7600 SOUTH UNIVERSITY AVENUE
Practice Address - Street 2:SUITE 14
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72209-3733
Practice Address - Country:US
Practice Address - Phone:501-708-6922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)