Provider Demographics
NPI:1942328570
Name:ETON HOME CARE, INC.
Entity Type:Organization
Organization Name:ETON HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EJIKE
Authorized Official - Middle Name:JOE
Authorized Official - Last Name:AJALLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-748-7938
Mailing Address - Street 1:2202 E 49TH ST
Mailing Address - Street 2:SUITE 700
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-8710
Mailing Address - Country:US
Mailing Address - Phone:918-748-7938
Mailing Address - Fax:
Practice Address - Street 1:2202 E 49TH ST
Practice Address - Street 2:STE 700
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-8710
Practice Address - Country:US
Practice Address - Phone:918-748-7938
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0071300251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health