Organization
EASY LIVING HOME HEALTHCARE SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY UCHE IHENACHO (PRESIDENT)
(909) 885-1015
Entity
Organization
Contact information
Practice address
1481 N WATERMAN AVE, SUITE 106, SAN BERNARDINO, CA 92404-5329
(909) 885-1015
(909) 885-1015
Mailing address
1481 N WATERMAN AVE, SUITE 106, SAN BERNARDINO, CA 92404-5329
(909) 885-1015
(909) 885-1283
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
44392
CA
Other
Enumeration date
06/16/2006
Last updated
08/22/2020
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