Pruitthealth - Old Capitol, LLC
NPI #1467409987 in Louisville, Georgia
Provider Information
- NPI Number
- 1467409987
- Entity Type
- Organization
- Organization Name
- Pruitthealth - Old Capitol, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 29, 2006
- Last Updated
- Apr 7, 2021
Practice Location
- Address
- 310 HIGHWAY 1 BYPASS
- City
- Louisville
- State
- Georgia
- ZIP Code
- 30434-6432
- Phone
- (478) 625-3741
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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