Pruitthealth - Lakeside, LLC

NPI #1427864552 in Macon, Georgia

Provider Information

NPI Number
1427864552
Entity Type
Organization
Organization Name
Pruitthealth - Lakeside, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Dec 4, 2024
Last Updated
Dec 4, 2024

Practice Location

Address
3020 JEFFERSONVILLE RD
City
Macon
State
Georgia
ZIP Code
31217-5118
Phone
(478) 746-3547

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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