PEDIATRIC SERVICES OF AMERICA

A HOME HEALTHCARE PROVIDER

Company Name:

Medicare Provider Number:

117133

Ownership Type:

Proprietary

Date Certified:

10-22-2002

Address:

444 PARK WEST DRIVE

City, State, Zip:

GROVETOWN , GA 30813

County:

COLUMBIA

Country:

Phone:

7068686543

Fax:

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