PEDIATRIC SERVICES OF AMERICA

A HOME HEALTHCARE PROVIDER

Company Name:

Medicare Provider Number:

497577

Ownership Type:

Proprietary

Date Certified:

02-05-2003

Address:

13800 COPPERMINE RD

City, State, Zip:

HERNDON , VA 20171

County:

FAIRFAX

Country:

Phone:

7032345421

Fax:

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