Organization
FREEDOM HOME HEALTHCARE, INC.
Active
Other names
Aveanna Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI WHITESIDE (DIRECTOR - REGULATORY LICENSING)
(770) 248-8740
Entity
Organization
Contact information
Practice address
303 FELLOWSHIP RD, SUITE 203, MOUNT LAUREL, NJ 08054-1212
(856) 780-1090
(856) 234-5753
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
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HP0169300
STATE LICENSE
NJ
Enumeration date
08/25/2014
Last updated
12/10/2018
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