Organization
PENNHURST GROUP LLC
Active
Organization
PENNHURST GROUP LLC
Active
Other names
Aveanna Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID AFSHAR (CFO)
(470) 464-8000
Entity
Organization
Contact information
Practice address
1 BELMONT AVE STE 250, BALA CYNWYD, PA 19004-1618
(215) 322-8860
(215) 322-8867
Mailing address
400 INTERSTATE NORTH PKWY SE STE 1600, ATLANTA, GA 30339-5047
(770) 248-8740
(770) 248-8192
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TF0000X
Family Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
11/24/2008
Last updated
06/16/2022
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