Provider Demographics
NPI:1013150382
Name:EASY APPLES,LLC
Entity Type:Organization
Organization Name:EASY APPLES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:V
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:MEDU
Authorized Official - Phone:917-650-4364
Mailing Address - Street 1:2006 BOULDER GATE DR
Mailing Address - Street 2:
Mailing Address - City:ELLENWOOD
Mailing Address - State:GA
Mailing Address - Zip Code:30294-1683
Mailing Address - Country:US
Mailing Address - Phone:917-650-4364
Mailing Address - Fax:678-318-1910
Practice Address - Street 1:2006 BOULDER GATE DR
Practice Address - Street 2:
Practice Address - City:ELLENWOOD
Practice Address - State:GA
Practice Address - Zip Code:30294-1683
Practice Address - Country:US
Practice Address - Phone:917-650-4364
Practice Address - Fax:678-318-1910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-15
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management