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Organization
PEDIATRIC SERVICES OF AMERICA, LLC
Active
Organization
PEDIATRIC SERVICES OF AMERICA, LLC
Active
Other names
Aveanna Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI WHITESIDE (AVP REGULATORY LICENSING)
(770) 441-1580
Entity
Organization
Contact information
Practice address
5200 HAHNS PEAK DR, SUITE 210, LOVELAND, CO 80538-8852
(970) 530-0210
(970) 530-0209
Mailing address
400 INTERSTATE NORTH PKWY SE STE 1600, ATLANTA, GA 30339-5047
(770) 441-1580
(770) 248-8192
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
01/13/2015
Last updated
03/08/2021
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