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Organization

PRUITTHEALTH - HOLLY HILL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NEIL L PRUITT JR. (CHAIMAN AND CEO)
(770) 279-6200
Entity
Organization

Contact information

Practice address
413 PENDLETON PL, VALDOSTA, GA 31602-2632
(229) 244-6968
Mailing address
1626 JEURGENS COURT, LEGAL DEPT, NORCROSS, GA 30093
(770) 279-6200

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
06/03/2020
Last updated
06/03/2020
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