| NPI | 1841760477 |
|---|---|
| Doing Business As | EASY TECH |
| Entity Type | Organization |
| Authorized Contact | CYBAL A GOODLETTE Owner 346-232-5047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251T00000X PACE Provider Organization |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2018-11-28 |