Pruitthealth - Moultrie, Llc in Norcross - Skilled Nursing Facility
Pruitthealth - Moultrie, Llc - NPI 1598747073
Pruitthealth - Moultrie, Llc is a Skilled Nursing Facility in Norcross, Georgia. Pruitthealth - Moultrie, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Pruitthealth - Moultrie, Llc is 1598747073. The last update date is 2021-06-03.
Pruitthealth - Moultrie, 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 - Moultrie, Llc is 1626 Jeurgens Ct, Norcross, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pruitthealth - Moultrie, 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 | 1598747073 |
|---|---|
| Provider Enumeration Date | 2005-11-18 |
| Last Updated Date | 2021-06-03 |
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 | 10351980 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00142095A | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Pruitthealth - Moultrie, Llc by the Centers for Medicare & Medicaid Services?
The Pruitthealth - Moultrie, Llc has been assigned the NPI (National Provider Identifier) 1598747073. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Pruitthealth - Moultrie, Llc is geographically located?
The Pruitthealth - Moultrie, Llc is physically situated at the following location: 1626 Jeurgens Ct, Norcross, GA, 300932219.
What is the Pruitthealth - Moultrie, Llc's specialty and taxonomy code?
The Pruitthealth - Moultrie, Llc's specialty is Skilled Nursing Facility, and the corresponding taxonomy code is 314000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1598747073 to Pruitthealth - Moultrie, Llc?
The Pruitthealth - Moultrie, Llc received its 1598747073 assignment from the Centers for Medicare & Medicaid Services on 2005-11-18.
When was the information pertaining to Pruitthealth - Moultrie, Llc most recently updated or revised?
The details related to Pruitthealth - Moultrie, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2021-06-03.