Provider Demographics
NPI:1871739425
Name:SIMPLY EZ HOME DELIVERED MEALS OF NORTHEAST OHIO LLC.
Entity type:Organization
Organization Name:SIMPLY EZ HOME DELIVERED MEALS OF NORTHEAST OHIO LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER-MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:CLINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-633-7490
Mailing Address - Street 1:1130A DAMAR DR
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44305-1066
Mailing Address - Country:US
Mailing Address - Phone:330-633-7490
Mailing Address - Fax:330-633-7690
Practice Address - Street 1:1130A DAMAR DR
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44305-1066
Practice Address - Country:US
Practice Address - Phone:330-633-7490
Practice Address - Fax:330-633-7690
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SIMPLY EZ HDM LLC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-01-05
Last Update Date:2009-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals