Organization
PRUITTHEALTH - PARKWOOD, 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
1501 N LEE ST, VALDOSTA, GA 31602-3309
(229) 242-6268
Mailing address
1626 JEURGENS COURT, LEGAL DEPT, NORCROSS, GA 30093
(770) 279-6200
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Enumeration date
06/03/2020
Last updated
06/16/2021
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