Provider Demographics
NPI:1295470474
Name:ECARE INFUSION SERVICES
Entity Type:Organization
Organization Name:ECARE INFUSION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NAME
Authorized Official - Middle Name:
Authorized Official - Last Name:NAME
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:877-882-4480
Mailing Address - Street 1:5820 N CANTON CENTER RD STE 180
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-2680
Mailing Address - Country:US
Mailing Address - Phone:248-800-2928
Mailing Address - Fax:248-800-7272
Practice Address - Street 1:5820 N CANTON CENTER RD STE 180
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-2680
Practice Address - Country:US
Practice Address - Phone:248-800-2928
Practice Address - Fax:248-800-7272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-02
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion TherapyGroup - Single Specialty