| Organization Name: | PEDIATRIC SERVICES OF AMERICA, INC |
| NPI Number: | 1760671572 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DALE VALENTINE (VP COMPLIANCE) |
| Mailing Address: | 1120 W Broad Ave Unit B-1 Albany |
| State: | GA US |
| Postal Code: | 317074397 |
| Phone Number: | 2294353387 |
| Fax Number: | 2294353847 |
| NPI Enumeration Date: | 10/17/2007 |
| NPI Last Update Date: | 07/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251J00000X |
| License Number: | 047-R-0377 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Nursing Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |