Organization
EASY LIVING BEHAVIORAL HEALTH
Active
Organization
EASY LIVING BEHAVIORAL HEALTH
Active
Parent organization
EASY LIVING HOME CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
EASY LIVING HOME CARE
Authorized official
LISA NICHOLS (ADMINISTRATOR)
(318) 376-0729
Entity
Organization
Contact information
Practice address
1109 CARTER ST STE 8, VIDALIA, LA 71373-3227
(318) 734-0034
(318) 734-0035
Mailing address
1109 CARTER ST STE 8, VIDALIA, LA 71373-3227
(318) 734-0034
(318) 734-0035
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5782381
—
LA
Enumeration date
01/03/2018
Last updated
01/03/2018
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