Pruitthealth - Magnolia Manor, Llc in Norcross - Skilled Nursing Facility

Pruitthealth - Magnolia Manor, Llc - NPI 1982651402

Pruitthealth - Magnolia Manor, Llc is a Skilled Nursing Facility in Norcross, Georgia. Pruitthealth - Magnolia Manor, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Pruitthealth - Magnolia Manor, Llc is 1982651402. The last update date is 2014-06-30.

Pruitthealth - Magnolia Manor, Llc's current location address is 1626 Jeurgens Ct, Norcross, Georgia. You can contact this provider via phone number 7702796200. The mailing address for Pruitthealth - Magnolia Manor, Llc is 1626 Jeurgens Ct, Norcross, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pruitthealth - Magnolia Manor, Llc
Address 1626 Jeurgens Ct, Norcross, Georgia
Phone Number 7702796200
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHAIRMAN A
Authorized Official Name Pruitt L Neil
Telephone Number 7702796200

NPI Number Detail

NPI Number 1982651402
Provider Enumeration Date 2006-05-29
Last Updated Date 2014-06-30

Provider Mailing Address Detail

Address 1626 Jeurgens Ct
City Norcross
State Georgia (GA)
Post Code 300932219
Phone Number 7702796200
Fax Number

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 1-035-1653
Definition:
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00252007A GA --

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FAQs about Pruitthealth - Magnolia Manor, Llc

What is the unique provider identifier assigned to Pruitthealth - Magnolia Manor, Llc?

The Pruitthealth - Magnolia Manor, Llc has been issued the NPI (National Provider Identifier) 1982651402 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Pruitthealth - Magnolia Manor, Llc is located?

The Pruitthealth - Magnolia Manor, Llc is situated at the following address: 1626 Jeurgens Ct, Norcross, GA, 300932219.

What is Pruitthealth - Magnolia Manor, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Pruitthealth - Magnolia Manor, Llc is Skilled Nursing Facility, and the corresponding taxonomy classification code for this specialized field is 314000000X.

On what date did Pruitthealth - Magnolia Manor, Llc receive its 1982651402 assignment from the Centers for Medicare & Medicaid Services?

The Pruitthealth - Magnolia Manor, Llc was assigned its 1982651402 on 2006-05-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Pruitthealth - Magnolia Manor, Llc last refreshed?

The information related to the Pruitthealth - Magnolia Manor, Llc, including its address, specialty, and other relevant details, was last updated on 2014-06-30.

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