Organization
LOVING CARE AGENCY, INC.
Active
Other names
Aveanna Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BUCKHALTER (CFO)
(470) 464-8000
Entity
Organization
Contact information
Practice address
4 NESHAMINY INTERPLEX, SUITE 204, TREVOSE, PA 19053-6944
(610) 668-3333
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
77780501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101023915
—
PA
01
—
39-7778
MEDICARE
PA
Enumeration date
03/02/2007
Last updated
01/27/2025
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