Organization
PRUITTHEALTH - THE LODGE LLC
Active
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
200 S KIMBERLY RD, WARNER ROBINS, GA 31088-8721
(478) 293-4900
Mailing address
1626 JEURGENS CT, NORCROSS, GA 30093-2219
(770) 806-6875
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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