Provider Demographics
NPI:1053023952
Name:REZK HEALTHCARE LLC
Entity type:Organization
Organization Name:REZK HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:E
Authorized Official - Last Name:REZK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-422-4733
Mailing Address - Street 1:135 DUTCH RD
Mailing Address - Street 2:
Mailing Address - City:CARROLLTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15722-6400
Mailing Address - Country:US
Mailing Address - Phone:724-422-4733
Mailing Address - Fax:814-419-4902
Practice Address - Street 1:10177 N KINGS HWY STE F1C
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29572-4027
Practice Address - Country:US
Practice Address - Phone:724-422-4733
Practice Address - Fax:814-419-4902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-22
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based