Provider Demographics
NPI:1316320542
Name:STEP EASY MEDICAL SUPPLY LLC
Entity type:Organization
Organization Name:STEP EASY MEDICAL SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-318-6085
Mailing Address - Street 1:229 W GENERAL SCREVEN WAY
Mailing Address - Street 2:SUITE S #378
Mailing Address - City:HINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31313-3054
Mailing Address - Country:US
Mailing Address - Phone:912-318-6085
Mailing Address - Fax:
Practice Address - Street 1:229 W GENERAL SCREVEN WAY
Practice Address - Street 2:SUITE S #378
Practice Address - City:HINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:31313-3054
Practice Address - Country:US
Practice Address - Phone:912-318-6085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-07
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies