# PRUITTHEALTH - ROCKINGHAM, LLC

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

## Provider details

- **NPI number:** 1033513320
- **Authorized official:** NEIL L. PRUITT JR. (CHAIRMAN AND CEO OF MANAGER)
- **Authorized official phone:** (770) 279-6200

## Contact information

- **Practice address:** 804 S LONG DR, ROCKINGHAM, NC 28379-4318
- **Practice address phone:** (910) 997-4493
- **Practice address fax:** (910) 997-4083
- **Mailing address:** 1626 JEURGENS CT, NORCROSS, GA 30093-2219
- **Mailing address phone:** (770) 279-6200
- **Mailing address fax:** (770) 931-5278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0427 | NC | Yes |

## Other

- **Enumeration date:** 10/15/2014
- **Last updated:** 10/15/2014