# ENCHANTED HILLS HOME HEALTHCARE AGENCY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578672424
- **Authorized official:** MRS. MELISSA KELLENE JOHNS RN (OWNER)
- **Authorized official phone:** (505) 867-0621

## Contact information

- **Practice address:** 7555 ENCHANTED HILLS BLVD., SUITE 200, RIO RANCHO, NM 87144-8525
- **Practice address phone:** (505) 867-0621
- **Practice address fax:** (505) 867-0623
- **Mailing address:** 7555 ENCHANTED HILLS BLVD NE, SUITE 200, RIO RANCHO, NM 87144-8625
- **Mailing address phone:** (505) 867-0621
- **Mailing address fax:** (505) 867-0623

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 3202 | NM | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 06/19/2009