Organization
PEDIATRIC SERVICES OF AMERICA, LLC
Active
Other names
Aveanna Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI WHITESIDE (AVP REGULATORY LICENSING)
(770) 248-8740
Entity
Organization
Contact information
Practice address
12100 E ILIFF AVE STE A-250, AURORA, CO 80014-6316
(303) 363-4107
(303) 343-2182
Mailing address
400 INTERSTATE NORTH PKWY SE STE 1600, ATLANTA, GA 30339-5047
(770) 441-1580
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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