Organization
PRUITTHEALTH - TOCCOA, LLC
Active
Other names
PruittHealth - Toccoa
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL L PRUITT (CHAIRMAN AND CEO OF MANAGER)
(770) 279-6200
Entity
Organization
Contact information
Practice address
633 FALLS RD, TOCCOA, GA 30577-1607
(706) 886-8491
Mailing address
1626 JEURGENS CT, NORCROSS, GA 30093-2219
(770) 279-6200
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-127-371
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00143305A
—
GA
Enumeration date
05/29/2006
Last updated
07/02/2014
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