Organization
PRUITTHEALTH - ELKIN, LLC
Active
Other names
PruittHealth - Elkin
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL L PRUITT (CHAIRMAN AND CEO)
(770) 279-6200
Entity
Organization
Contact information
Practice address
560 JOHNSON RIDGE RD, ELKIN, NC 28621-2420
(336) 835-7802
Mailing address
1626 JEURGENS CT, NORCROSS, GA 30093-2219
(770) 279-6200
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0303
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3416552
—
NC
05
—
3435124
—
NC
Enumeration date
05/29/2006
Last updated
03/23/2016
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