Organization
EASY LIVING ASSISTANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY REZVAN (DIRECTOR OF OPERATIONS)
(248) 800-6800
Entity
Organization
Contact information
Practice address
41000 WOODWARD AVE STE E350, BLOOMFIELD HILLS, MI 48304-5130
(248) 800-6800
Mailing address
PO BOX 930504, WIXOM, MI 48393-0504
(248) 800-6800
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
385HR2050X
Respite Care Camp
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
02/04/2020
Last updated
02/22/2023
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