<Unavail>

LBN: Pruitthealth - Virginia Park, Llc
<Unavail> is an health care organization with primary practice located at 1000 Briarcliff Rd Ne , Atlanta GA 30306-2618. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Pruitthealth - Virginia Park, Llc can be contacted via phone (404) 875-6456, or through Pruitt, Neil L. via phone (770) 279-6200.

Contact Information

Primary practice address
1000 Briarcliff Rd Ne Atlanta GA 30306-2618
Phone: (404) 875-6456
Fax: (404) 874-4606
Website:
Map and Directions
Authorized official contact:
Name: Pruitt, Neil L.
Phone: (770) 279-6200

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1134500754
LBN Legal business name Pruitthealth - Virginia Park, Llc
DBA Doing business as <Unavail>
Authorized official Pruitt, Neil L.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2015
Last updated Jun 10th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1134500754 NPPES
Georgia MEDICAID 000140401A

Popular Providers