Organization
CHILD'S PLAY THERAPEUTIC HOMECARE INC.
Active
Other names
Aveanna Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON DRAKE (CHIEF LEGAL OFFICER)
(470) 464-8000
Entity
Organization
Contact information
Practice address
1042 CENTRAL PARKWAY SOUTH, SUITE 1042, SAN ANTONIO, TX 78232
(210) 348-7529
(210) 348-7527
Mailing address
400 INTERSTATE NORTH PARKWAY, SE, SUITE 1600 ATTN: LICENSING, ATLANTA, GA 30339
(470) 464-8000
(770) 248-8192
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
013740
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212741701
—
TX
Enumeration date
05/10/2010
Last updated
09/19/2023
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