Provider Demographics
NPI:1487270054
Name:ECHOVIEW ASSISTED LIVING, LLC
Entity type:Organization
Organization Name:ECHOVIEW ASSISTED LIVING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ARA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:JORGENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-314-2233
Mailing Address - Street 1:1373 WHITEFISH STAGE
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-2747
Mailing Address - Country:US
Mailing Address - Phone:406-314-2233
Mailing Address - Fax:844-866-3310
Practice Address - Street 1:1373 WHITEFISH STAGE
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-2747
Practice Address - Country:US
Practice Address - Phone:406-314-2233
Practice Address - Fax:844-866-3310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-19
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility