Organization
THE OAKS OF BLYTHEWOOD, INC.
Active
Other names
PruittHealth - Blythewood
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL L. PRUITT JR. (CHAIRMAN AND CEO)
(770) 279-6200
Entity
Organization
Contact information
Practice address
1075 HEATHER GREEN DRIVE, COLUMBIA, SC 29229-0000
(803) 382-2300
(803) 382-2301
Mailing address
1626 JEURGENS CT, NORCROSS, GA 30093-2219
(770) 279-6200
(770) 931-5278
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCF0959
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NF1012
—
SC
Enumeration date
03/24/2010
Last updated
01/25/2017
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