Organization
EASY LIVING HOME ASSISTANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS R JACKSON (OWNER)
(586) 943-8029
Entity
Organization
Contact information
Practice address
6306 E 10 MILE RD, WARREN, MI 48091-3805
(586) 943-8029
Mailing address
6306 E 10 MILE RD, WARREN, MI 48091-3805
(586) 943-8029
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/10/2025
Last updated
01/27/2026
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