Provider Demographics
NPI:1679191290
Name:EZ HEALTH RESOURCES, LLC
Entity Type:Organization
Organization Name:EZ HEALTH RESOURCES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:E.CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:EZUMA-NGWU
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:301-655-6155
Mailing Address - Street 1:13119 PINEY MEETINGHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-6350
Mailing Address - Country:US
Mailing Address - Phone:301-655-6155
Mailing Address - Fax:
Practice Address - Street 1:13119 PINEY MEETINGHOUSE RD
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-6350
Practice Address - Country:US
Practice Address - Phone:301-655-6155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-09
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332S00000XSuppliersHearing Aid Equipment