Organization
MITCHELL HEALTHCARE, LLC
Active
Parent organization
MISSION HEALTHCARE, LLC
Other names
Firesteel Healthcare Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSION HEALTHCARE, LLC
Authorized official
MR. THOMAS E. BOERBOOM (CHIEF OPERATING OFFICER)
(952) 873-7907
Entity
Organization
Contact information
Practice address
1120 E 7TH AVE, MITCHELL, SD 57301-2908
(605) 996-6526
(605) 996-8290
Mailing address
1120 E 7TH AVE, MITCHELL, SD 57301-2908
(605) 996-6526
(605) 996-8290
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
10653
SD
314000000X
Skilled Nursing Facility
Primary
10653
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150912
—
SD
Enumeration date
11/20/2006
Last updated
06/26/2013
About Stedi
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