Pruitthealth - Magnolia Manor, LLC

NPI #1982651402 in Moultrie, Georgia

Provider Information

NPI Number
1982651402
Entity Type
Organization
Organization Name
Pruitthealth - Magnolia Manor, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 29, 2006
Last Updated
Jun 30, 2014

Practice Location

Address
3003 VETERANS PARKWAY SOUTH
State
Georgia
ZIP Code
31788-6705
Phone
(229) 985-3422

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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