Organization
PRUITTHEALTH - DILLON, LLC
Active
Other names
PruittHealth - Dillon
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL L PRUITT JR. (CHAIRMAN AND CEO OF MANAGER)
(770) 279-6200
Entity
Organization
Contact information
Practice address
413 LAKESIDE CT, DILLON, SC 29536-1926
(843) 774-2741
(843) 774-5850
Mailing address
1626 JEURGENS CT, NORCROSS, GA 30093-2219
(770) 279-6200
(770) 931-5278
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCF-835
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0452NH
—
SC
Enumeration date
05/26/2006
Last updated
07/02/2014
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