Organization
PRUITTHEALTH HOSPICE, INC.
Active
Other names
PruittHealth Hospice - Fayetteville
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
2850 VILLAGE DR STE 102, FAYETTEVILLE, NC 28304-3864
(910) 483-1793
(910) 483-4315
Mailing address
1626 JEURGENS CT, NORCROSS, GA 30093-2219
(770) 279-6200
(770) 931-5278
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
—
—
Other
Enumeration date
02/26/2015
Last updated
12/21/2020
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