Organization
ENCHANTED HOME HEALTH AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAWANDA DUNCAN CMA (OWNER)
(704) 780-3047
Entity
Organization
Contact information
Practice address
1801 N TRYON ST STE 350, CHARLOTTE, NC 28206-2789
(980) 299-8968
(980) 430-5635
Mailing address
1801 N TRYON ST STE 350, CHARLOTTE, NC 28206-2789
(980) 299-8968
(980) 430-5635
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8470783
DRIVERS LICENSE
NC
Enumeration date
03/02/2018
Last updated
06/11/2019
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