# ENCHANTED HEARTS HOME CARE SERVICES LLC.

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

## Provider details

- **NPI number:** 1518572973
- **Authorized official:** QUANISHA ALIYAH VERA (OWNER)
- **Authorized official phone:** (706) 910-3580

## Contact information

- **Practice address:** 119 DAVIS RD STE 5C, MARTINEZ, GA 30907-0217
- **Practice address phone:** (706) 799-3017
- **Practice address fax:** (706) 925-5723
- **Mailing address:** PO BOX 9373, AUGUSTA, GA 30916-9373
- **Mailing address phone:** (706) 799-3017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/12/2020
- **Last updated:** 03/15/2021