Organization
PRUITTHEALTH - TOWN CENTER, LLC
Active
Other names
PruittHealth - Town Center
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
6300 ROBERTA RD, HARRISBURG, NC 28075-9416
(704) 455-5553
Mailing address
1626 JEURGENS CT, NORCROSS, GA 30093-2219
(678) 533-6485
(770) 931-5278
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0604
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3405515
—
NC
05
—
340613V
—
NC
Enumeration date
05/29/2006
Last updated
07/02/2014
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