Organization
ECHO RESIDENTIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEYANA LEE (CEO)
(207) 212-8851
Entity
Organization
Contact information
Practice address
22 FARWELL ST APT 2, LEWISTON, ME 04240-4816
(207) 212-5020
Mailing address
22 FARWELL ST APT 2, LEWISTON, ME 04240-4816
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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