# ENCHANTED HEARTS ADULT DAYCARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144500984
- **Authorized official:** JACQUELINE LYNETTE WATKINS (ADMINISTRATOR)
- **Authorized official phone:** (903) 394-0071

## Contact information

- **Practice address:** 2501 W OAK ST, PALESTINE, TX 75801-4069
- **Practice address phone:** (903) 394-0071
- **Mailing address:** 2501 W OAK ST, PALESTINE, TX 75801-4069
- **Mailing address phone:** (903) 394-0071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 02182933 | TX | Yes |

## Other

- **Enumeration date:** 08/25/2011
- **Last updated:** 08/25/2011