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Organization
PRUITTHEALTH - NEUSE, LLC
Active
Organization
PRUITTHEALTH - NEUSE, LLC
Active
Other names
PruittHealth - Neuse
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL L PRUITT JR. (CHAIRMAN AND CEO OF MANAGER)
(770) 279-6200
Entity
Organization
Contact information
Practice address
1303 HEALTH DR, NEW BERN, NC 28560-4371
(252) 634-2560
(252) 638-1485
Mailing address
1626 JEURGENS CT, NORCROSS, GA 30093-2219
(770) 279-6200
(770) 931-5278
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0496
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3415357
—
NC
05
—
3416001
—
NC
Enumeration date
05/24/2006
Last updated
03/23/2016
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