NPI 1609717198

Easy Living Senior Home LLC

Organisation PACE Provider Organization Milwaukee, WI

Practice location

Address: 7219 W Medford Ave, Milwaukee, WI 53218-3833
Phone: (414) 393-1015
Fax: (414) 435-1620
Mailing address: 7414 W Hampton Ave, Milwaukee, WI 53218-4746

Authorised official

Name: Carmen Martin
Title: President
Phone: (414) 702-5573

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

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Registry record

NPI: 1609717198
Entity type: Organization
NPI issued: 1 Apr 2026
Record last updated: 1 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.