Organization
PRUITTHEALTH - OCILLA, LLC
Active
Other names
PruittHealth - Ocilla
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
209 W HUDSON ST, OCILLA, GA 31774-1235
(229) 468-9431
Mailing address
1626 JEURGENS CT, NORCROSS, GA 30093-2219
(770) 279-6200
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-077-1773
GA
Other
Enumeration date
01/07/2013
Last updated
06/27/2014
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