# LOWNDES COUNTY HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Parkwood Development Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316994833
- **Authorized official:** MR. NEIL L PRUITT JR. (CHAIRMAN AND CEO)
- **Authorized official phone:** (770) 279-6200

## Contact information

- **Practice address:** 1501 N LEE ST, VALDOSTA, GA 31602-3309
- **Practice address phone:** (229) 242-6268
- **Mailing address:** 211 E DOYLE ST, TOCCOA, GA 30577-2960
- **Mailing address phone:** (706) 886-8493
- **Mailing address fax:** (706) 827-2048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 315P00000X | Intellectual Disabilities Intermediate Care Facility | 2-092-532 | GA | Yes |

## Other

- **Enumeration date:** 05/29/2006
- **Last updated:** 08/21/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00142348A | — | GA |