NPI 1619908985
Pediatric Services of America, LLC
Practice location
- Address
- 1324 Belmont St STE 204-205, Brockton, MA 02301-4435
- Phone
- (508) 586-9700
- Fax
- (508) 583-0070
- Mailing address
- 400 Interstate North Pkwy SE STE 1600, Atlanta, GA 30339-5047
Authorised official
- Name
- Matthew Buckhalter
- Title
- Cfo
- Phone
- (470) 464-8000
Registered specialties (2)
Nursing Care Agency
Primary
Home Health Agency
Registry record
- NPI
- 1619908985
- Entity type
- Organization
- NPI issued
- 5 Jul 2006
- Record last updated
- 27 Jan 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.