Provider Demographics
NPI:1467039727
Name:EASY PEASY ACCOMMODATION MEDICAL SUPPLIES CORP
Entity Type:Organization
Organization Name:EASY PEASY ACCOMMODATION MEDICAL SUPPLIES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:VERNOT
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:770-695-0751
Mailing Address - Street 1:2928 EVANS MILL RD STE B
Mailing Address - Street 2:
Mailing Address - City:STONECREST
Mailing Address - State:GA
Mailing Address - Zip Code:30038-2486
Mailing Address - Country:US
Mailing Address - Phone:770-695-0751
Mailing Address - Fax:770-558-2971
Practice Address - Street 1:2928 EVANS MILL RD STE B
Practice Address - Street 2:
Practice Address - City:STONECREST
Practice Address - State:GA
Practice Address - Zip Code:30038-2486
Practice Address - Country:US
Practice Address - Phone:770-695-0751
Practice Address - Fax:770-558-2971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-24
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies