Organization
EAZY SPEECH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA JOYCE VAUGHN M.S., CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(301) 848-3216
Entity
Organization
Contact information
Practice address
4205 LAKEVIEW DR, TEMPLE HILLS, MD 20748-4934
(301) 848-3216
(301) 848-3216
Mailing address
4205 LAKEVIEW DR, P.O. BOX 1433, TEMPLE HILLS, MD 20748-4934
(301) 848-3216
(301) 848-3216
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
SLP000247
DC
313M00000X
Nursing Facility/Intermediate Care Facility
SLP000247
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598957995
NATIONAL PROVIDER IDENTIFICATION
GA
Enumeration date
05/24/2016
Last updated
05/24/2016
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