Organization
PEDIATRIA HEALTHCARE, LLC
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
385 BERT KOUNS INDUSTRIAL LOOP, SUITE 600, SHREVEPORT, LA 71106-8158
(318) 415-7625
(318) 415-7630
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
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
—
Other
Enumeration date
09/09/2014
Last updated
01/27/2025
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