Pediatric Services Of America, LLC
Nursing Care in Savannah, GA. Organization (NPI-2).
NPI number1508897968
StatusActive
Last updated in NPPESJan 27, 2025
Details
- NPI
- 1508897968
- Entity type
- Organization (NPI-2)
- Legal business name
- Pediatric Services Of America, LLC
- Organization subpart
- No
- Enumeration date
- Jul 5, 2006
- Certification date
- Jan 27, 2025
- Last updated
- Jan 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251J00000X | Nursing Care | 025-R-0029 | GA | Yes |
Other names
- Aveanna Healthcare (Doing Business As)
Practice location
23 Chatham Ctr S Ste BSavannah, GA 31405-1302
Phone 912-961-1017 · Fax 912-961-6994
Mailing address
400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047
Phone 470-464-8000 · Fax 770-248-8192
Authorized official
Matthew Buckhalter
Cfo
4704648000
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