Organization Name: | AGING MADE EASY LLC |
NPI Number: | 1235494071 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDRA KAY JOHNSON (OWNER/MANAGER) |
Mailing Address: | 205 State Route B Ste 8 Saint James |
State: | MO US |
Postal Code: | 655592000 |
Phone Number: | 5732656004 |
Fax Number: | 5732651261 |
NPI Enumeration Date: | 07/09/2012 |
NPI Last Update Date: | 07/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |