Provider Demographics
NPI:1659517274
Name:E Z LIVING MEDICAL LLC
Entity Type:Organization
Organization Name:E Z LIVING MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED DESIGNEE
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:COOKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-773-7615
Mailing Address - Street 1:4450 SUNFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90808-1332
Mailing Address - Country:US
Mailing Address - Phone:310-773-7615
Mailing Address - Fax:
Practice Address - Street 1:4450 SUNFIELD AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90808-1332
Practice Address - Country:US
Practice Address - Phone:310-773-7615
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DREAM HOUSES INVESTMENTS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-01-02
Last Update Date:2009-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332U00000XSuppliersHome Delivered Meals
No333300000XSuppliersEmergency Response System Companies