Healthcare Provider Details

I. General information

NPI: 1033749072
Provider Name (Legal Business Name): ECHO WORLD COMM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2020
Last Update Date: 01/17/2020
Certification Date: 01/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N MAIN ST
LAWRENCEVILLE VA
23868-1818
US

IV. Provider business mailing address

14680 FOREST RD
FOREST VA
24551-4468
US

V. Phone/Fax

Practice location:
  • Phone: 303-548-9107
  • Fax:
Mailing address:
  • Phone: 303-548-9107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: KRISTEN MUZZY
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 303-548-9107