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Organization
TCGHHA, LLC
Active
Organization
TCGHHA, LLC
Active
Other names
Aveanna Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI WHITESIDE (DIRECTOR REGULATORY LICENSING)
(770) 248-8740
Entity
Organization
Contact information
Practice address
9220 KIRBY DRIVE, SUITE 1000, HOUSTON, TX 77054
(713) 383-9700
(713) 383-9795
Mailing address
400 INTERSTATE NORTH PARKWAY, SE, SUITE 1600 ATTN: LICENSING, ATLANTA, GA 30339
(770) 248-8740
(770) 248-8192
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
016935
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3363517 01
—
TX
Enumeration date
03/18/2011
Last updated
02/12/2020
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