Organization
PEDIATRIC SERVICES OF AMERICA, LLC
Active
Other names
Aveanna Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI WHITESIDE (AVP REGULATORY LICENSING)
(770) 441-1580
Entity
Organization
Contact information
Practice address
5200 HAHNS PEAK DR, SUITE 210, LOVELAND, CO 80538-8852
(970) 530-0210
(970) 530-0209
Mailing address
400 INTERSTATE NORTH PKWY SE STE 1600, ATLANTA, GA 30339-5047
(770) 441-1580
(770) 248-8192
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
01/13/2015
Last updated
03/08/2021
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