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Pediatria Healthcare, Llc
Medically Fragile Infants and Children Day Care in Tucker, Georgia
NPI 1457539090

Pediatria Healthcare, Llc is a Medically Fragile Infants and Children Day Care based in Norcross, GA and is specialized in Medically Fragile Infants and Children Day Care. Pediatria Healthcare, Llc practices in Tucker, GA. The NPI Number for Pediatria Healthcare, Llc is 1457539090 and holds a License No. CCLC-18589 (Georgia).

The current practice location address for Pediatria Healthcare, Llc is 1967 Lakeside Pkwy, Tucker, GA and can be reached out via phone at 770-414-0055 and via fax at 770-414-0045.

Location: 1967 Lakeside Pkwy, Tucker, GA, 30092-6542
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457539090
Provider Name
Pediatria Healthcare, Llc
Credential
Provider Entity Type
Organization
Address
1967 Lakeside Pkwy, Tucker, GA, 30092-6542
Phone Number
770-414-0055
Fax Number
770-414-0045
Provider Enumeration Date
02/06/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
656991060B 05 GA
institution
Provider Business Practice Location Address Details
Address
1967 Lakeside Pkwy
City
Tucker
State
Georgia
Zip
30084-5867
Phone Number
770-414-0055
Fax Number
770-414-0045
person
Provider Business Mailing Address Details
Address
1967 Lakeside Pkwy
City
Tucker
State
Georgia
Zip
30084-5867
Phone Number
770-414-0055
Fax Number
770-414-0045
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medically Fragile Infants and Children Day Care
Taxonomy
261QM3000X
License No.
CCLC-18589 (Georgia)
Definition
An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).
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