Organization
PRUITTHEALTH - AIKEN, LLC
Active
Other names
PruittHealth - Aiken
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
830 LAURENS STREET, AIKEN, SC 29802-3416
(803) 649-6264
(803) 642-5737
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-408
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313415
—
SC
Enumeration date
05/07/2007
Last updated
05/27/2014
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