Healthcare Provider Details

I. General information

NPI: 1124944434
Provider Name (Legal Business Name): MICHELLE DONISE MOTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3807 SALISBURY RD
SOUTH EUCLID OH
44121-1911
US

IV. Provider business mailing address

3807 SALISBURY RD
SOUTH EUCLID OH
44121-1911
US

V. Phone/Fax

Practice location:
  • Phone: 216-513-8422
  • Fax:
Mailing address:
  • Phone: 216-513-8422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: