Pruitthealth - Crestwood, LLC

NPI #1063036200 in Valdosta, Georgia

Provider Information

NPI Number
1063036200
Entity Type
Organization
Organization Name
Pruitthealth - Crestwood, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jun 3, 2020
Last Updated
Jun 3, 2020

Practice Location

Address
415 PENDLETON PL
State
Georgia
ZIP Code
31602-2632
Phone
(229) 242-6868

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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