Provider Demographics
NPI:1245608017
Name:ECO CHATEAU
Entity Type:Organization
Organization Name:ECO CHATEAU
Other - Org Name:ADOPT A CHRISTMAS TREE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MISS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDANNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-550-1844
Mailing Address - Street 1:2831 CAMINO DEL RIO S STE 209
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-3828
Mailing Address - Country:US
Mailing Address - Phone:619-795-6955
Mailing Address - Fax:
Practice Address - Street 1:2831 CAMINO DEL RIO S STE 209
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3828
Practice Address - Country:US
Practice Address - Phone:619-795-6955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-09
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty