Organization
PEDIATRIC SERVICES OF AMERICA, LLC
Active
Other names
Aveanna Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID AFSHAR (DIRECTOR)
(470) 464-8000
Entity
Organization
Contact information
Practice address
8659 BAYPINE ROAD, STE 100, BUILDING 3, JACKSONVILLE, FL 32256
(904) 730-2200
Mailing address
400 INTERSTATE NORTH PKWY SE STE 1600, ATLANTA, GA 30339-5047
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
681187696
—
FL
Enumeration date
09/24/2021
Last updated
02/09/2022
About Stedi
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