Organization · Type 2 NPI
Pediatria Healthcare, LLC
Medically Fragile Infants and Children Day Care · Tucker, GA
Practice location
1967 Lakeside Pkwy, Suite 420
Tucker, GA 30084-5867
Fax (770) 414-0045
Mailing address
5185 Peachtree Pkwy, Ste 350
Norcross, GA 30092-6542
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medically Fragile Infants and Children Day Care Primary | 261QM3000X | CCLC-18589 (GA) |
Medically Fragile Infants and Children Day Care: 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.).
5 other providers at this address
- Carla Jean Gignilliat, MA, CCC-SLPSpeech-Language Pathologist Tucker, GA NPI 1700084902
- Christi Jenkins McDonald, DPTPediatric Physical Therapist Tucker, GA NPI 1417268202
- Jenny Cohan Beauchamp, PTPediatric Physical Therapist Tucker, GA NPI 1427112432
- Lily Spencer, MSWSocial Worker Tucker, GA NPI 1083598569
- Nisu Herrera, LCSWClinical Social Worker Tucker, GA NPI 1215691910
About NPI 1457539090
Pediatria Healthcare, LLC's National Provider Identifier is 1457539090, issued on Feb 6, 2008. The primary taxonomy on file is Medically Fragile Infants and Children Day Care (261QM3000X), and the practice location is in Tucker, GA. The record was last updated on May 22, 2008.