Individual provider · Type 1 NPI
Chakiah Tucker Mitchell
Assisted Living Facility · Melbourne, FL
NPI number
1922512656
Active
Practice location
2421 Lipscomb St
Melbourne, FL 32901-5572
Mailing address
2403 Dunbar Ave
Melbourne, FL 32901-5211
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
About NPI 1922512656
Chakiah Tucker Mitchell's National Provider Identifier is 1922512656, issued on Nov 16, 2017. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Melbourne, FL. The record was last updated on Nov 16, 2017.