Provider Demographics
NPI:1447352695
Name:EZ LIVING LLC
Entity type:Organization
Organization Name:EZ LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GUIRGIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-340-8395
Mailing Address - Street 1:4031 UNIVERSITY DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-3409
Mailing Address - Country:US
Mailing Address - Phone:703-340-8395
Mailing Address - Fax:703-879-4567
Practice Address - Street 1:4031 UNIVERSITY DR
Practice Address - Street 2:SUITE 200
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-3409
Practice Address - Country:US
Practice Address - Phone:703-340-8395
Practice Address - Fax:703-879-4567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-01
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0206009298332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5411820001Medicare NSC