Healthcare Provider Details

I. General information

NPI: 1538152210
Provider Name (Legal Business Name): LIVEASY MEDICAL EQUIPMENT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2005
Last Update Date: 11/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 N SCOTT
BELTON MO
64012-1736
US

IV. Provider business mailing address

801 N SCOTT AVE
BELTON MO
64012-1736
US

V. Phone/Fax

Practice location:
  • Phone: 816-318-9950
  • Fax: 816-318-9958
Mailing address:
  • Phone: 816-318-9950
  • Fax: 816-318-9958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number18085407
License Number StateMO

VIII. Authorized Official

Name: MR. ROY M WINFREY JR.
Title or Position: PRESIDENT
Credential:
Phone: 816-318-9950