Provider Demographics
NPI:1922579093
Name:ECU
Entity Type:Organization
Organization Name:ECU
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KWAKU
Authorized Official - Middle Name:
Authorized Official - Last Name:DANSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-257-5435
Mailing Address - Street 1:7637 AMOS AVE
Mailing Address - Street 2:
Mailing Address - City:SEVERN
Mailing Address - State:MD
Mailing Address - Zip Code:21144-1203
Mailing Address - Country:US
Mailing Address - Phone:301-257-5435
Mailing Address - Fax:
Practice Address - Street 1:7637 AMOS AVE
Practice Address - Street 2:
Practice Address - City:SEVERN
Practice Address - State:MD
Practice Address - Zip Code:21144-1203
Practice Address - Country:US
Practice Address - Phone:301-257-5435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)