Organization
LIFEWAY EASE, LLC
Active
Parent organization
LIFEWAY MOBILITY HOLDINGS, LLC
Other names
Lifeway Mobility
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFEWAY MOBILITY HOLDINGS, LLC
Authorized official
MR. PAUL M BERGANTINO (PRESIDENT/CEO)
(860) 292-1111
Entity
Organization
Contact information
Practice address
40 A WESTON STREET, HARTFORD, CT 06120-1538
(860) 292-1111
Mailing address
40 A WESTON STREET, HARTFORD, CT 06120-1538
(860) 292-1111
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/11/2015
Last updated
11/16/2021
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