Provider Demographics
NPI:1245472018
Name:EZYLINK VENTURES LLC
Entity type:Organization
Organization Name:EZYLINK VENTURES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:APEAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-972-1787
Mailing Address - Street 1:650 E PARKRIDGE AVE STE 112
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92879-6605
Mailing Address - Country:US
Mailing Address - Phone:909-972-1787
Mailing Address - Fax:951-549-8763
Practice Address - Street 1:650 E PARKRIDGE AVE
Practice Address - Street 2:# 112
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92879-1091
Practice Address - Country:US
Practice Address - Phone:909-972-1787
Practice Address - Fax:951-549-8763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-25
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care