Pruitthealth - Washington, Llc

NPI 1043263031 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1043263031
Enumeration Date 05/18/2006
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 (706) 678-7804
Fax (706) 678-3675
Practice Location
112 HOSPITAL DRIVE
WASHINGTON GA, 30673-0578, US
Phone (706) 678-7804
Fax (706) 678-3675
Business Location
1626 JEURGENS CT
NORCROSS GA, 30093-2219, US
Phone (770) 279-6200
Fax
Toxanomy
Taxonomy Code 314000000X
License State Georgia
License Number 11571650
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According to our database, Pruitthealth - Washington, Llc NPI is 1043263031, taxonomy code is 314000000X and license number is 11571650, license state is located at Georgia. Pruitthealth - Washington, Llc physically located at 112 Hospital Drive, Washington GA, 30673-0578. NPI Number 1033115704 has the healthcare provider type.

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1043263031 NPI number is provided on an as is basis without warranty of any kind. 1043263031 is maintained by the National Plan & Provider Enumeration System. The contents of Pruitthealth - Washington, Llc are for informational purposes only.