Provider Demographics
NPI:1457156390
Name:MORTON, IRELAND
Entity type:Individual
Prefix:
First Name:IRELAND
Middle Name:
Last Name:MORTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 ANDOVER RD APT J7
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-3839
Mailing Address - Country:US
Mailing Address - Phone:937-515-3703
Mailing Address - Fax:
Practice Address - Street 1:2 ANDOVER RD APT J7
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-3839
Practice Address - Country:US
Practice Address - Phone:937-515-3703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant