Individual
ALICIA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5769 DIXIE PLANTATION RD, HOLLYWOOD, SC 29449-6120
(843) 764-7011
Mailing address
5769 DIXIE PLANTATION RD, HOLLYWOOD, SC 29449-6120
(843) 764-7011
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
SC
174200000X
Meals Provider
—
SC
177F00000X
Lodging Provider
—
SC
251K00000X
Public Health or Welfare Agency
—
SC
343900000X
Non-emergency Medical Transport (VAN)
—
SC
347C00000X
Private Vehicle
—
SC
3747P1801X
Personal Care Attendant
—
SC
374U00000X
Home Health Aide
Primary
—
SC
376J00000X
Homemaker
—
SC
385H00000X
Respite Care
—
SC
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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