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Organization
LOWNDES COUNTY HEALTH SERVICES LLC
Active
Organization
LOWNDES COUNTY HEALTH SERVICES LLC
Active
Other names
Parkwood Development Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL L PRUITT JR. (CHAIRMAN AND CEO)
(770) 279-6200
Entity
Organization
Contact information
Practice address
1501 N LEE ST, VALDOSTA, GA 31602-3309
(229) 242-6268
Mailing address
211 E DOYLE ST, TOCCOA, GA 30577-2960
(706) 886-8493
(706) 827-2048
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
2-092-532
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00142348A
—
GA
Enumeration date
05/29/2006
Last updated
08/21/2009
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