Organization
PRUITTHEALTH HOSPICE, INC.
Active
Other names
PruittHealth Hospice - Columbia
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL L PRUITT JR. (CHAIRMAN AND CEO)
(770) 279-6200
Entity
Organization
Contact information
Practice address
903 ELMWOOD AVE STE A, COLUMBIA, SC 29201
(803) 771-0489
Mailing address
1626 JEURGENS CT, NORCROSS, GA 30093-2219
(770) 279-6200
(706) 827-2048
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSP073
—
SC
Enumeration date
06/03/2006
Last updated
06/21/2018
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