Organization
PRUITTHEALTH HOME HEALTH - SOUTH ATLANTA, INC.
Active
Other names
PruittHealth @ Home - Columbus
Organization subpart
No
Provider details
NPI number
Authorized official
LYNETHIA NYTONYA HOLLEY (PROVIDER ENROLLMENT SPECILIST)
(678) 296-0751
Entity
Organization
Contact information
Practice address
1725 WILLIAMS RD, COLUMBUS, GA 31904-1601
(706) 561-0855
Mailing address
1626 JEURGENS CT, LEGAL DEPT, NORCROSS, GA 30093-1601
(678) 296-0751
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/02/2022
Last updated
10/23/2025
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