# PRUITTHEALTH - RALEIGH, LLC

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

## Provider details

- **NPI number:** 1730136250
- **Authorized official:** NEIL L PRUITT JR. (CHAIRMAN AND CEO OF MANAGER)
- **Authorized official phone:** (770) 279-6200

## Contact information

- **Practice address:** 2420 LAKE WHEELER RD, RALEIGH, NC 27603-2614
- **Practice address phone:** (919) 755-0226
- **Mailing address:** 1626 JEURGENS CT, NORCROSS, GA 30093-2219
- **Mailing address phone:** (770) 279-6200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0618 | NC | Yes |

## Other

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