Organization
OPTION 1 NUTRITION SOLUTIONS, LLC
Active
Organization
OPTION 1 NUTRITION SOLUTIONS, LLC
Active
Other names
Aveanna Healthcare Medical Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI WHITESIDE (DIRECTOR REGULATORY LICENSING)
(770) 248-8740
Entity
Organization
Contact information
Practice address
3295 RIVER EXCHANGE DR STE 212, PEACHTREE CORNERS, GA 30092-4204
(866) 883-1188
Mailing address
400 INTERSTATE NORTH PKWY SE STE 1600, ATLANTA, GA 30339-5047
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
03/05/2021
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