| NPI | 1013163377 |
|---|---|
| Doing Business As | AVEANNA HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | VICKI WHITESIDE Director Regulatory Licensing 770-248-8740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: TX 67-6535) |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation (Licence: TX 648140024) |
| 261QR0400X Clinic/Center, Rehabilitation (Licence: TX 648140002) | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2020-06-12 |