Organization
PEDIATRIA HEALTHCARE, LLC
Active
Other names
Pediatria HealthCare for Kids
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH D. SANSONE (CEO, CHAIRMAN & MANAGER)
(770) 840-1966
Entity
Organization
Contact information
Practice address
1185 JACKS RUN RD, S.R. 48, NORTH VERSAILLES, PA 15137-2725
(412) 349-6712
(412) 349-6717
Mailing address
5185 PEACHTREE PKWY, SUITE 350, NORCROSS, GA 30092-6542
(770) 840-1966
(770) 840-1901
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
05250501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021992800017
—
PA
Enumeration date
04/25/2013
Last updated
03/22/2016
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