Organization
ENCHANTED HILLS HOME HEALTHCARE AGENCY, INC.
Active
Parent organization
ENCHANTED HILLS HOME HEALTH CARE AGENCY, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENCHANTED HILLS HOME HEALTH CARE AGENCY, INC.
Authorized official
MELISSA JOHNS RN (OWNER)
(505) 867-0621
Entity
Organization
Contact information
Practice address
4273 MONTGOMERY BLVD. NE, BUILDING K STE. 130, ALBUQUERQUE, NM 87109
(505) 867-0621
Mailing address
7555 ENCHANTED HILLS BLVD NE STE 200, RIO RANCHO, NM 87144-8625
(505) 867-0621
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3202B1
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75208067
—
NM
05
—
94935505
—
NM
Enumeration date
12/13/2017
Last updated
12/13/2017
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