Organization
SIMPLY EZ HDM OF NORTHWEST OHIO
Active
Parent organization
SIMPLY EZ LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SIMPLY EZ LLC
Authorized official
MR. GREGG PAUL FEIERTAG (OWNER)
(419) 662-3963
Entity
Organization
Contact information
Practice address
6412 FAIRFIELD DR STE F, NORTHWOOD, OH 43619-7514
(419) 662-3963
(419) 662-3962
Mailing address
6412 FAIRFIELD DR, SUITE F, NORTHWOOD, OH 43619-7514
(419) 662-3963
(419) 662-3962
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3019745
—
OH
Enumeration date
05/27/2009
Last updated
01/20/2025
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