Organization
MITCHELL HEALTHCARE, LLC
Active
Organization
MITCHELL HEALTHCARE, LLC
Active
Other names
Interim HealthCare of Augusta
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CUTTER MITCHELL (ADMINISTRATOR)
(706) 550-1107
Entity
Organization
Contact information
Practice address
801 BROAD ST STE 605, AUGUSTA, GA 30901-1252
(706) 550-1107
(706) 955-9318
Mailing address
801 BROAD ST STE 605, AUGUSTA, GA 30901-1252
(706) 550-1107
(706) 955-9318
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003234083A
—
GA
05
—
003234236A
—
GA
01
—
PHCP010361
PRIVATE HOME CARE PROVIDER LICENSE, GEORGIA DEPARTMENT OF COMMUNITY HEALTH
GA
Enumeration date
12/11/2019
Last updated
05/10/2023
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