Organization
PRUITTPLACE - WINSTON SALEM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL L PRUITT JR. (CHAIRMAN AND CEO)
(770) 279-6200
Entity
Organization
Contact information
Practice address
2500 POLO RIDGE CT, WINSTON SALEM, NC 27106-3950
(770) 279-6200
Mailing address
1626 JEURGENS CT, NORCROSS, GA 30093-2219
(770) 806-6875
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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