Organization
PRUITTHEALTH HOME FIRST, INC.
Active
Other names
Pruitthealth Home First - Albany
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL L PRUITT JR. (CHAIRMAN AND CEO)
(770) 279-6200
Entity
Organization
Contact information
Practice address
202 NORTH WESTOVER BLVD., ALBANY, GA 31707
(229) 878-0128
(229) 878-1093
Mailing address
1626 JEURGENS CT, NORCROSS, GA 30093-2219
(229) 273-2570
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085500800T
—
GA
Enumeration date
12/21/2006
Last updated
01/22/2018
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