Organization
EASY LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALERIE A MCFEETERS (ASSISTANT DIRECTOR/OWNER)
(419) 784-0900
Entity
Organization
Contact information
Practice address
204 PERRY ST, DEFIANCE, OH 43512-2118
(419) 784-0900
Mailing address
204 PERRY ST, DEFIANCE, OH 43512-2118
(419) 784-0900
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2388189
—
OH
Enumeration date
09/17/2020
Last updated
09/17/2020
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