Provider Demographics
NPI:1952098402
Name:EASIER 4LIFE, LLC
Entity Type:Organization
Organization Name:EASIER 4LIFE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DERRICK
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-549-8693
Mailing Address - Street 1:85 MINE RD STE 103
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-7590
Mailing Address - Country:US
Mailing Address - Phone:540-572-3070
Mailing Address - Fax:540-572-3079
Practice Address - Street 1:85 MINE RD STE 103
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-7590
Practice Address - Country:US
Practice Address - Phone:540-572-3070
Practice Address - Fax:540-572-3079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care