Provider Demographics
NPI:1518000512
Name:TERRY'S EASY CHAIR
Entity Type:Organization
Organization Name:TERRY'S EASY CHAIR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:GENE
Authorized Official - Last Name:HUNSUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-744-9598
Mailing Address - Street 1:799 W MARKLAND DR
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-6820
Mailing Address - Country:US
Mailing Address - Phone:626-744-9598
Mailing Address - Fax:323-888-1578
Practice Address - Street 1:799 W MARKLAND DR
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-6820
Practice Address - Country:US
Practice Address - Phone:626-744-9598
Practice Address - Fax:323-888-1578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)