Pruitthealth - Magnolia Manor, Llc
Pruitthealth - Magnolia Manor, Llc is a health care provider in Norcross, GA. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 3003 Veterans Parkway South, Moultrie, GA 31788-6705, US |
|Practice Location Phone||229-985-3422|
|Practice Location Fax||229-985-0227|
|Legal Business Name||PRUITTHEALTH - MAGNOLIA MANOR, LLC|
|Other Organization Name||PRUITTHEALTH - MAGNOLIA MANOR|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ? ||May 29, 2006|
|Last Update Date ? ||Jun 30, 2014|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Pruitthealth - Magnolia Manor, Llc
|Specialty||Provider Type||Specialization||License||License State|
|Skilled Nursing Facility||Nursing & Custodial Care Facilities|| ||1-035-1653||Georgia|
Legacy Provider IDs of Pruitthealth - Magnolia Manor, Llc
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of Pruitthealth - Magnolia Manor, Llc
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Pruitthealth - Magnolia Manor, Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official ||Mr. Neil L Pruitt|
|Authorized Official Title/Position||CHAIRMAN AND CEO|
|Authorized Official Phone Number||770-279-6200|