Organization
THE ECHELON SOCIETY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL D FERNANDES CRPA (PRESIDENT & FOUNDER)
(149) 219-4239
Entity
Organization
Contact information
Practice address
20 E 1ST ST STE 302, MOUNT VERNON, NY 10550-3375
(914) 219-4239
(914) 221-7805
Mailing address
20 E 1ST ST STE 302, MOUNT VERNON, NY 10550-3375
(914) 219-4239
(914) 221-7805
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
172A00000X
Driver
—
—
174200000X
Meals Provider
—
—
175T00000X
Peer Specialist
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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