Enchantment Legacy, Inc.
NPI #1306232038 in Estancia, New Mexico
Provider Information
- NPI Number
- 1306232038
- Entity Type
- Organization
- Organization Name
- Enchantment Legacy, Inc.
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Apr 9, 2015
- Last Updated
- Apr 9, 2015
Practice Location
- Address
- 514 WILLIAMS AVE
- City
- Estancia
- State
- New Mexico
- ZIP Code
- 87016-0697
- Phone
- (505) 384-3032
Authorized Official
- Name
- MRS. THERESA L. MUTH
- Title
- EXECUTIVE DIRECTOR
- Phone
- (505) 384-3032
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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