NPI 1811925308

Pediatric Services of America, LLC

Organisation Nursing Care Agency Vancouver, WA

Practice location

Address: 9105 NE Highway 99 STE 202, Vancouver, WA 98665-8974
Phone: (360) 693-7595
Fax: (360) 693-7341
Mailing address: 400 Interstate North Pkwy SE STE 1600, Atlanta, GA 30339-5047

Authorised official

Name: Vicki Whiteside
Title: Avp Regulatory Licensing
Phone: (770) 248-8740

Registered specialties

Nursing Care Agency Primary

Agencies Taxonomy 251J00000X Licence 152070 (OR)

Other Nursing Care providers in Washington →

Registry record

NPI: 1811925308
Entity type: Organization
NPI issued: 30 Jun 2006
Record last updated: 7 Apr 2021

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.