Organization
OPTION 1 NUTRITION SOLUTIONS LLC
Active
Other names
Aveanna Healthcare Medical Solutions - OK
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BUCKHALTER (CFO)
(470) 464-8000
Entity
Organization
Contact information
Practice address
12101 E 51ST ST STE 106, TULSA, OK 74146-6018
(918) 252-2000
(918) 252-2007
Mailing address
400 INTERSTATE NORTH PKWY SE, SUITE 1600, ATLANTA, GA 30339-5047
(470) 464-8000
(770) 248-8192
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100260990B
—
OK
01
—
731347232
OTHER PROVIDERS
OK
01
—
731347232001
BCBS OF OK
OK
Enumeration date
10/31/2006
Last updated
01/27/2025
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