Organization
PRUITTHEALTH HOSPICE, INC.
Active
Other names
PruittHealth Hospice - Cordele
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL L PRUITT JR. (CHAIRMAN AND CEO)
(770) 279-6200
Entity
Organization
Contact information
Practice address
708 E 16TH AVE, CORDELE, GA 31015-1512
(229) 271-0300
(229) 271-0371
Mailing address
1626 JEURGENS CT, LEGAL DEPT, NORCROSS, GA 30093-2219
(770) 279-6200
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00849736A
—
GA
Enumeration date
06/02/2006
Last updated
04/29/2021
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