Organization
ENCHANTED HILLS HOME HEALTHCARE AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA KELLENE JOHNS RN (OWNER)
(505) 867-0621
Entity
Organization
Contact information
Practice address
7555 ENCHANTED HILLS BLVD., SUITE 200, RIO RANCHO, NM 87144-8525
(505) 867-0621
(505) 867-0623
Mailing address
7555 ENCHANTED HILLS BLVD NE, SUITE 200, RIO RANCHO, NM 87144-8625
(505) 867-0621
(505) 867-0623
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3202
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75208067
—
NM
05
—
94935505
—
NM
Enumeration date
08/30/2006
Last updated
06/19/2009
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