Provider Demographics
NPI:1538517230
Name:MICHAEL E. ECTON
Entity Type:Organization
Organization Name:MICHAEL E. ECTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOME CARE ATTENDANT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:ECTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-657-7910
Mailing Address - Street 1:4991 ALHAMBRA CT
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45416-1101
Mailing Address - Country:US
Mailing Address - Phone:937-657-7910
Mailing Address - Fax:
Practice Address - Street 1:4991 ALHAMBRA CT
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45416-1101
Practice Address - Country:US
Practice Address - Phone:937-657-7910
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-03
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty