Provider Demographics
NPI:1720537285
Name:ECO ARTS LIVING
Entity Type:Organization
Organization Name:ECO ARTS LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TONYEHN
Authorized Official - Middle Name:
Authorized Official - Last Name:VERKITUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-267-7418
Mailing Address - Street 1:117 2ND ST
Mailing Address - Street 2:
Mailing Address - City:BLAKELY
Mailing Address - State:PA
Mailing Address - Zip Code:18447-1211
Mailing Address - Country:US
Mailing Address - Phone:570-267-7418
Mailing Address - Fax:
Practice Address - Street 1:117 2ND ST
Practice Address - Street 2:
Practice Address - City:BLAKELY
Practice Address - State:PA
Practice Address - Zip Code:18447-1211
Practice Address - Country:US
Practice Address - Phone:570-267-7418
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-26
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1629527189OtherNPI