Organization
ENCHANTED HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FALLON LAVAE POOL-DONAHUE (OWNER)
(304) 561-7737
Entity
Organization
Contact information
Practice address
1260 HOLMES RD APT 8, YPSILANTI, MI 48198-3967
(304) 561-7737
Mailing address
1260 HOLMES RD APT 8, YPSILANTI, MI 48198-3967
(304) 561-7737
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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