Organization
PRUITTHEALTH - RIDGEWAY, LLC
Active
Other names
PruittHealth - Ridgeway
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL L PRUITT JR. (CHAIRMAN AND CEO OF MANAGER)
(770) 279-6200
Entity
Organization
Contact information
Practice address
213 TANGLEWOOD COURT, RIDGEWAY, SC 29130-7100
(803) 337-3211
(803) 337-8124
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
NCF710
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0124NH
—
SC
Enumeration date
06/05/2006
Last updated
07/07/2014
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