Provider Demographics
NPI:1669964490
Name:LIVING MADE EASY HOMES, LLC
Entity type:Organization
Organization Name:LIVING MADE EASY HOMES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARTHIA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-418-9155
Mailing Address - Street 1:2133 N 39TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53208-1334
Mailing Address - Country:US
Mailing Address - Phone:414-418-9155
Mailing Address - Fax:414-323-7538
Practice Address - Street 1:2133 N 39TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53208-1334
Practice Address - Country:US
Practice Address - Phone:414-418-9155
Practice Address - Fax:414-323-7538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-06
Last Update Date:2018-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care