Organization
THE OAKS - BETHANY SKILLED NURSING, LLC
Active
Other names
The Oaks - Bethany Skilled Nursing
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
1305 EAST NORTH STREET, VIDALIA, GA 30474-8624
(912) 537-7922
(912) 537-0216
Mailing address
1626 JEURGENS COURT, NORCROSS, GA 30093
(770) 379-6200
(770) 931-5278
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00140258A
—
GA
Enumeration date
11/02/2010
Last updated
06/27/2014
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