Provider Demographics
NPI:1326869629
Name:ECE-DYNAMIC HEALTHCARE INC
Entity type:Organization
Organization Name:ECE-DYNAMIC HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EMAEYAK
Authorized Official - Middle Name:A
Authorized Official - Last Name:ETIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-888-8315
Mailing Address - Street 1:20523 FERTILE VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-1040
Mailing Address - Country:US
Mailing Address - Phone:832-888-8315
Mailing Address - Fax:
Practice Address - Street 1:20523 FERTILE VALLEY LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-1040
Practice Address - Country:US
Practice Address - Phone:832-888-8315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-18
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care