# PRUITTHEALTH HOSPICE, INC.

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

## Provider details

- **NPI number:** 1790723435
- **Authorized official:** MR. NEIL L PRUITT JR. (CHAIRMAN AND CEO)
- **Authorized official phone:** (770) 279-6200

## Contact information

- **Practice address:** 903 ELMWOOD AVE STE A, COLUMBIA, SC 29201
- **Practice address phone:** (803) 771-0489
- **Mailing address:** 1626 JEURGENS CT, NORCROSS, GA 30093-2219
- **Mailing address phone:** (770) 279-6200
- **Mailing address fax:** (706) 827-2048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 315D00000X | Inpatient Hospice | — | NULL | Yes |

## Other

- **Enumeration date:** 06/03/2006
- **Last updated:** 06/21/2018