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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