Provider Demographics
NPI:1699455824
Name:FIRST CLASS RENTAL SERVICE
Entity type:Organization
Organization Name:FIRST CLASS RENTAL SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:ADELEYE
Authorized Official - Suffix:
Authorized Official - Credentials:MANAGER
Authorized Official - Phone:708-677-8833
Mailing Address - Street 1:20909 TORRENCE AVE
Mailing Address - Street 2:
Mailing Address - City:LYNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60411-8725
Mailing Address - Country:US
Mailing Address - Phone:708-677-8833
Mailing Address - Fax:708-851-1485
Practice Address - Street 1:20909 TORRENCE AVE
Practice Address - Street 2:
Practice Address - City:LYNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60411-8725
Practice Address - Country:US
Practice Address - Phone:708-677-8833
Practice Address - Fax:708-851-1485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)