Organization
CANNDID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES, MITCHELL (COO)
(209) 730-0435
Entity
Organization
Contact information
Practice address
2050 EDGEVIEW WAY # 714, KNOXVILLE, TN 37918-1786
(209) 730-0435
Mailing address
2050 EDGEVIEW WAY # 714, KNOXVILLE, TN 37918-1786
(209) 730-0435
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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