Provider Demographics
NPI:1811190481
Name:EASY LIVING
Entity Type:Organization
Organization Name:EASY LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MEINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-946-2137
Mailing Address - Street 1:721 S TYLER ST
Mailing Address - Street 2:
Mailing Address - City:DEWITT
Mailing Address - State:AR
Mailing Address - Zip Code:72042-2951
Mailing Address - Country:US
Mailing Address - Phone:870-946-2137
Mailing Address - Fax:870-946-2137
Practice Address - Street 1:721 S TYLER ST
Practice Address - Street 2:
Practice Address - City:DEWITT
Practice Address - State:AR
Practice Address - Zip Code:72042-2951
Practice Address - Country:US
Practice Address - Phone:870-946-2137
Practice Address - Fax:870-946-2137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR082310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility