Organization
EASY LIVING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TROY KETCHUM (DIRECTOR)
(417) 881-8033
Entity
Organization
Contact information
Practice address
110 N RANGE LINE RD STE 202, JOPLIN, MO 64801-1600
(417) 626-2600
Mailing address
110 N RANGE LINE RD STE 202, JOPLIN, MO 64801-1600
(417) 626-2600
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
MO
Other
Enumeration date
10/18/2007
Last updated
10/18/2007
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