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Organization
PEDIATRIC HOME CARE, INC.
Active
Organization
PEDIATRIC HOME CARE, INC.
Active
Other names
Aveanna Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BUCKHALTER (CFO)
(470) 464-8000
Entity
Organization
Contact information
Practice address
1120 NORTH MULLAN ROAD, SUITE 206, SPOKANE VALLEY, WA 99206-4074
(509) 368-9252
(509) 368-9594
Mailing address
400 INTERSTATE NORTH PKWY SE STE 1600, ATLANTA, GA 30339-5047
(470) 464-8000
(770) 248-8192
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
00000344
WA
Other
Enumeration date
05/09/2006
Last updated
01/27/2025
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