Organization
PRUITTHEALTH - COVINGTON LLC
Active
Other names
PruittHealth - Covington
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL L PRUITT JR. (CHAIRMAN AND CEO OF MANAGER)
(770) 279-6200
Entity
Organization
Contact information
Practice address
4148 CARROLL ST SW, COVINGTON, GA 30014-2706
(770) 786-0427
Mailing address
1626 JEURGENS CT, NORCROSS, GA 30093-2219
(770) 279-6200
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/21/2013
Last updated
06/27/2014
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