NPI 1699707968
Pediatric Services of America, LLC
Practice location
- Address
- 9105 NE Highway 99 STE 202, Building a, Vancouver, WA 98665-8961
- Phone
- (360) 639-7595
- Fax
- (360) 693-7262
- 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
- 1699707968
- Entity type
- Organization
- NPI issued
- 7 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.