| Aveanna Healthcare | |
|
2005 Vista Pkwy Ste 110a West Palm Beach FL 33411-6700 | |
| (561) 683-5758 | |
| (561) 683-3416 |
| Full Name | Aveanna Healthcare |
|---|---|
| Speciality | Clinic/center - Rehabilitation |
| Location | 2005 Vista Pkwy Ste 110a, West Palm Beach, Florida |
| Authorized Official Name and Position | Shannon Drake (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 4704648000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aveanna Healthcare 400 Interstate North Pkwy Se Ste 1600 Atlanta GA 30339-5047 Ph: (470) 464-8000 | Aveanna Healthcare 2005 Vista Pkwy Ste 110a West Palm Beach FL 33411-6700 Ph: (561) 683-5758 |
| NPI Number | 1376218487 |
|---|---|
| Provider Enumeration Date | 08/11/2021 |
| Last Update Date | 02/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376218487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Primary |
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