Organization
MITCHELL HEIGHTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY D MITCHELL (OWNER)
(828) 645-3094
Entity
Organization
Contact information
Practice address
75 KUYKENDALL BRANCH RD, ASHEVILLE, NC 28804-9612
(828) 645-3094
Mailing address
PO BOX 1807, LEICESTER, NC 28748
(828) 645-3094
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
FCL-011-260
NC
310400000X
Assisted Living Facility
Primary
FCL-011-261
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801361
—
NC
05
—
7801362
—
NC
05
—
7801363
—
NC
05
—
7801364
—
NC
05
—
7801365
—
NC
Enumeration date
04/25/2007
Last updated
01/02/2008
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