Individual
LARRY ALLEN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 S TURKEY CREEK RD, LEICESTER, NC 28748-6500
(828) 231-4916
Mailing address
PO BOX 775, WEAVERVILLE, NC 28787-0775
(828) 231-4916
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FLC-011-330
NC
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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