Organization
HIGH LEVEL HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY MITCHELL (OWNER)
(904) 415-6370
Entity
Organization
Contact information
Practice address
4686 LAKE VISTA CIR, ELLENWOOD, GA 30294-1698
(770) 568-7812
(770) 234-6075
Mailing address
4686 LAKE VISTA CIR, ELLENWOOD, GA 30294-1698
(770) 568-7812
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
GA
Enumeration date
02/09/2022
Last updated
02/09/2022
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