Organization
ENCHANTED HEARTS ADULT DAYCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE LYNETTE WATKINS (ADMINISTRATOR)
(903) 394-0071
Entity
Organization
Contact information
Practice address
2501 W OAK ST, PALESTINE, TX 75801-4069
(903) 394-0071
Mailing address
2501 W OAK ST, PALESTINE, TX 75801-4069
(903) 394-0071
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
02182933
TX
Other
Enumeration date
08/25/2011
Last updated
08/25/2011
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