Organization
ENCHANTED CARE CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN BANKS (DIRECTOR)
(800) 507-6404
Entity
Organization
Contact information
Practice address
9921 BELLEVUE ST NW, ALBUQUERQUE, NM 87114-4112
(800) 507-6404
Mailing address
9921 BELLEVUE ST NW, ALBUQUERQUE, NM 87114-4112
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1T 2248
NM
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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