Organization
PEDIATRIC SERVICES OF AMERICA, LLC
Active
Other names
Aveanna Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON DRAKE (CHIEF LEGAL OFFICER)
(470) 464-8000
Entity
Organization
Contact information
Practice address
3178 ROUTE 219, KANE, PA 16735-4632
(814) 642-9500
(814) 642-2440
Mailing address
400 INTERSTATE NORTH PKWY SE STE 1600, ATLANTA, GA 30339-5047
(470) 464-8000
(770) 248-8192
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
766305
PA
Other
Enumeration date
07/03/2006
Last updated
02/26/2024
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