# PRUITTHEALTH - CRYSTAL COAST, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PruittHealth - Crystal Coast
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023358991
- **Authorized official:** NEIL L PRUITT JR. (CHAIRMAN AND CEO OF MANAGER)
- **Authorized official phone:** (770) 279-6200

## Contact information

- **Practice address:** 2416 US HWY 70 EAST, BEAUFORT, NC 28516
- **Practice address phone:** (252) 225-0112
- **Mailing address:** 1626 JEURGENS CT, LEGAL DEPT, NORCROSS, GA 30093-2219
- **Mailing address phone:** (770) 279-6200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0600 | NC | Yes |

## Other

- **Enumeration date:** 02/28/2013
- **Last updated:** 02/29/2024