Organization
OPTION 1 NUTRITION SOLUTIONS, LLC
Active
Other names
Aveanna Healthcare Medical Solutions - IL
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BUCKHALTER (CFO)
(470) 464-8000
Entity
Organization
Contact information
Practice address
331 SALEM PLACE, SUITE 115, FAIRVIEW HEIGHTS, IL 62208-1340
(618) 467-1100
(844) 754-1345
Mailing address
400 INTERSTATE NORTH PKWY SE, SUITE 1600, ATLANTA, GA 30339-5047
(470) 464-8000
(470) 464-8000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/03/2016
Last updated
01/27/2025
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