# EASY LIFE HOME CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Easy Life Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134869225
- **Authorized official:** NATALIA V BOUSE (OWNER)
- **Authorized official phone:** (321) 350-1238

## Contact information

- **Practice address:** 2118 LITTLE JOHN RD, MELBOURNE, FL 32935-3736
- **Practice address phone:** (321) 350-1238
- **Practice address fax:** (321) 622-8031
- **Mailing address:** PO BOX 360091, MELBOURNE, FL 32936-0091
- **Mailing address phone:** (321) 350-1238
- **Mailing address fax:** (321) 622-8031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 03/29/2022
- **Last updated:** 06/04/2022