Organization
LACOLES HEAL AND TOUCH HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMIKA L MITCHELL (CEO)
(980) 505-7748
Entity
Organization
Contact information
Practice address
933 PINE LOG RD, AIKEN, SC 29803-7330
(980) 505-7748
(706) 252-8049
Mailing address
2609 SERENITY LN, AUGUSTA, GA 30909-0645
(980) 505-7748
(706) 252-8049
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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