Organization
PEDIATRIC SERVICES OF AMERICA, LLC
Active
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
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