Pruitthealth - Lilburn, LLC

NPI #1043267560 in Lilburn, Georgia

Provider Information

NPI Number
1043267560
Entity Type
Organization
Organization Name
Pruitthealth - Lilburn, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 29, 2006
Last Updated
Jul 2, 2014

Practice Location

Address
788 INDIAN TRL RD NW
State
Georgia
ZIP Code
30047-3724
Phone
(770) 923-2020

Authorized Official

Name
NEIL L PRUITT JR.
Title
CHAIRMAN AND CEO OF MANAGER
Phone
(770) 279-6200

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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