Organization
EASY LIVING HOME HEALTH CARE AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA BALCERAK COTA (CO OWNER)
(262) 293-3951
Entity
Organization
Contact information
Practice address
W175N11117 STONEWOOD DR STE 100, GERMANTOWN, WI 53022-6505
(262) 293-3951
(262) 345-5162
Mailing address
W175N11117 STONEWOOD DR STE 100, GERMANTOWN, WI 53022-6505
(262) 293-3951
(262) 345-5162
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52-7313
PTAN
WI
Enumeration date
05/21/2010
Last updated
06/01/2016
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