Provider Demographics
NPI:1619729159
Name:AT EASE HOME HELP SERVICE LLC
Entity type:Organization
Organization Name:AT EASE HOME HELP SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:GARRISON-JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-259-8327
Mailing Address - Street 1:32969 HAMILTON CT STE 140
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3341
Mailing Address - Country:US
Mailing Address - Phone:248-259-8327
Mailing Address - Fax:248-987-2648
Practice Address - Street 1:32969 HAMILTON CT STE 140
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3341
Practice Address - Country:US
Practice Address - Phone:248-259-8327
Practice Address - Fax:248-987-2648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-05
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health