Healthcare Provider Details

I. General information

NPI: 1033970926
Provider Name (Legal Business Name): EZ ABLE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2024
Last Update Date: 01/18/2024
Certification Date: 01/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7047 WOLVERINE VIEW DR
WILLIAMSBURG MI
49690-9290
US

IV. Provider business mailing address

801 S GARFIELD AVE # 130A
TRAVERSE CITY MI
49686-3429
US

V. Phone/Fax

Practice location:
  • Phone: 877-392-2531
  • Fax:
Mailing address:
  • Phone: 877-392-2531
  • Fax: 313-263-6261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: JUSTIN MATTIS
Title or Position: LEAD INSTALLER
Credential: ELEVATOR JOURNEYMAN
Phone: 231-620-3097