# EASY LIVING HOME HEALTHCARE SUPPLIES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285678524
- **Authorized official:** MR. GREGORY UCHE IHENACHO (PRESIDENT)
- **Authorized official phone:** (909) 885-1015

## Contact information

- **Practice address:** 1481 N WATERMAN AVE, SUITE 106, SAN BERNARDINO, CA 92404-5329
- **Practice address phone:** (909) 885-1015
- **Practice address fax:** (909) 885-1015
- **Mailing address:** 1481 N WATERMAN AVE, SUITE 106, SAN BERNARDINO, CA 92404-5329
- **Mailing address phone:** (909) 885-1015
- **Mailing address fax:** (909) 885-1283

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 44392 | CA | Yes |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 08/22/2020