Organization
OPTION 1 NUTRITION SOLUTIONS, LLC
Active
Other names
Aveanna Healthcare Medical Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON DRAKE (CHIEF LEGAL OFFICER)
(470) 464-8000
Entity
Organization
Contact information
Practice address
3200 INLAND EMPIRE BLVD STE 280, ONTARIO, CA 91764-5557
(480) 883-1188
(866) 453-3332
Mailing address
400 INTERSTATE NORTH PKWY SE STE 1600, ATLANTA, GA 30339-5047
(470) 464-8000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
09/08/2023
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