| NPI | 1114956646 |
|---|---|
| Doing Business As | AVEANNA HEALTHCARE |
| Doing Business As | PSA HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | VICKI WHITESIDE A VP, Regulatory Licensing 770-248-8740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2021-03-31 |