Organization
ENCHANTED CARE SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRESTON COOK (CFO)
(800) 507-6404
Entity
Organization
Contact information
Practice address
546 HARKLE RD, SUITE B, SANTA FE, NM 87505-4784
(800) 507-6404
(877) 855-3455
Mailing address
223 N GUADALUPE ST, SUITE 162, SANTA FE, NM 87501-1868
(800) 507-6404
(877) 855-3455
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NM
251G00000X
Community Based Hospice Care Agency
13-00119302
NM
253Z00000X
In Home Supportive Care Agency
Primary
13-00119302
NM
Other
Enumeration date
05/23/2013
Last updated
10/17/2013
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