Provider Demographics
NPI:1467478115
Name:EASY LIFE MEDICAL EQUIPMENT, INC
Entity Type:Organization
Organization Name:EASY LIFE MEDICAL EQUIPMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAVHANNISYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-493-0703
Mailing Address - Street 1:14850 N CAVE CREEK RD STE 6
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-4949
Mailing Address - Country:US
Mailing Address - Phone:602-493-0703
Mailing Address - Fax:602-493-4763
Practice Address - Street 1:14850 N CAVE CREEK RD STE 6
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-4949
Practice Address - Country:US
Practice Address - Phone:602-493-0703
Practice Address - Fax:602-493-4763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies