Organization
ECHELON MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOANN EVANS (OWNER/COO)
(303) 261-2199
Entity
Organization
Contact information
Practice address
1530 CHUKAR DR, LONGMONT, CO 80504-3302
(303) 261-2199
Mailing address
1530 CHUKAR DR, LONGMONT, CO 80504-3302
(303) 261-2199
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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