Pruitthealth - Lafayette, LLC
NPI #1962459487 in La Fayette, Georgia
Provider Information
- NPI Number
- 1962459487
- Entity Type
- Organization
- Organization Name
- Pruitthealth - Lafayette, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 29, 2006
- Last Updated
- Jul 2, 2014
Practice Location
- Address
- 205 ROADRUNNER BLVD
- City
- La Fayette
- State
- Georgia
- ZIP Code
- 30728-2161
- Phone
- (706) 638-4662
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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