# POE MITCH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** POE MITCH LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225785256
- **Authorized official:** TINA MITCHELL (CEO)
- **Authorized official phone:** (318) 519-1818

## Contact information

- **Practice address:** 814 SW EVANGELINE TRWY UNIT 238, LAFAYETTE, LA 70501-8240
- **Practice address phone:** (318) 519-1818
- **Mailing address:** PO BOX 5135, BOSSIER CITY, LA 71171-5135
- **Mailing address phone:** (318) 519-1818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/09/2022
- **Last updated:** 03/09/2022