Pruitthealth - Lilburn, Llc

NPI 1043267560 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1043267560
Enumeration Date 05/29/2006
Last Updated 07/02/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name NEIL L NEIL
Position CHAIRMAN AND CEO OF MANAGER
Phone (770) 923-2020
Fax
Practice Location
788 INDIAN TRL RD NW
LILBURN GA, 30047-3724, US
Phone (770) 923-2020
Fax
Business Location
1626 JEURGENS CT
NORCROSS GA, 30093-2219, US
Phone (770) 279-6200
Fax
Toxanomy
Taxonomy Code 314000000X
License State Georgia
License Number 1-067-1799
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According to our database, Pruitthealth - Lilburn, Llc NPI is 1043267560, taxonomy code is 314000000X and license number is 1-067-1799, license state is located at Georgia. Pruitthealth - Lilburn, Llc physically located at 788 Indian Trl Rd Nw, Lilburn GA, 30047-3724. NPI Number 1033115704 has the healthcare provider type.

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1043267560 NPI number is provided on an as is basis without warranty of any kind. 1043267560 is maintained by the National Plan & Provider Enumeration System. The contents of Pruitthealth - Lilburn, Llc are for informational purposes only.