| Organization Name: | ENCHANTED CARE SERVICES INC. |
| NPI Number: | 1265879712 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PRESTON COOK (CFO) |
| Mailing Address: | 546 Harkle Rd Suite B Santa Fe |
| State: | NM US |
| Postal Code: | 875054784 |
| Phone Number: | 8005076404 |
| Fax Number: | 8778553455 |
| NPI Enumeration Date: | 05/23/2013 |
| NPI Last Update Date: | 10/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 13-00119302 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |