Pruitthealth - Peake, Llc

NPI 1093762510 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1093762510
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 (478) 471-7474
Fax
Practice Location
6190 PEAKE RD
MACON GA, 31220-3956, US
Phone (478) 471-7474
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 1-011-1095
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According to our database, Pruitthealth - Peake, Llc NPI is 1093762510, taxonomy code is 314000000X and license number is 1-011-1095, license state is located at Georgia. Pruitthealth - Peake, Llc physically located at 6190 Peake Rd, Macon GA, 31220-3956. NPI Number 1033115704 has the healthcare provider type.

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1093762510 NPI number is provided on an as is basis without warranty of any kind. 1093762510 is maintained by the National Plan & Provider Enumeration System. The contents of Pruitthealth - Peake, Llc are for informational purposes only.