# PRUITTHEALTH - CAROLINA POINT, LLC

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

## Provider details

- **NPI number:** 1518112036
- **Authorized official:** NEIL L. PRUITT JR. (CHAIRMAN AND CEO OF MANAGER)
- **Authorized official phone:** (770) 279-6200

## Contact information

- **Practice address:** 5935 MOUNT SINAI ROAD, DURHAM, NC 27705-8616
- **Practice address phone:** (919) 402-2450
- **Practice address fax:** (919) 493-1295
- **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 |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/25/2008
- **Last updated:** 06/02/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3405551 | — | NC |
