| NPI | 1760179584 |
|---|---|
| Doing Business As | ENCHANTED HEARTS PROVIDER SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | DORIAN OLEVIA MARTIN CEO 409-527-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2023-04-21 |