# PRUITTHEALTH - TOWN CENTER, LLC

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

## Provider details

- **NPI number:** 1700833233
- **Authorized official:** NEIL L PRUITT JR. (CHAIRMAN AND CEO OF MANAGER)
- **Authorized official phone:** (770) 279-6200

## Contact information

- **Practice address:** 6300 ROBERTA RD, HARRISBURG, NC 28075-9416
- **Practice address phone:** (704) 455-5553
- **Mailing address:** 1626 JEURGENS CT, NORCROSS, GA 30093-2219
- **Mailing address phone:** (678) 533-6485
- **Mailing address fax:** (770) 931-5278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0604 | NC | Yes |

## Other

- **Enumeration date:** 05/29/2006
- **Last updated:** 07/02/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3405515 | — | NC |
| 05 | — | 340613V | — | NC |