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
55 MAIN ST UNIT 350, NORWICH, CT 06360-5760
(860) 383-1909
(860) 383-1914
Mailing address
400 INTERSTATE NORTH PKWY SE STE 1600, ATLANTA, GA 30339-5047
(470) 464-8000
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
9612701-PSO OFFICE
CT
251J00000X
Nursing Care Agency
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—
Other
Enumeration date
05/12/2014
Last updated
02/28/2024
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