Pruitthealth - Bamberg, Llc

  • 1104063718 NPI Number
  • |
  • Actived: 10 years ago
  • |
According to our database, NPI number for Pruitthealth - Bamberg, Llc is 1104063718 and actived since Tuesday, January 20 2009. Pruitthealth - Bamberg, Llc is an Organization provider specializes in Skilled Nursing Facility. Provider information was last updated on 06/30/2014.

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Overview of Pruitthealth - Bamberg, Llc

  • NPI number: 1962049064
  • Provider type: Organization
  • Specialty: Skilled Nursing Facility
  • Active since: 01/20/2009
  • Last updated: 06/30/2014

Primary Scrop of Practice

  • Taxonomy Code: 314000000X
  • Specialty: Skilled Nursing Facility
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 1626 Jeurgens Ct
    Norcross, GA 30093
  • Phone: 770-279-6200
  • Fax:

Provider Practice Location

  • Address: 439 North St
    Bamberg, SC 29003
  • Phone: 803-245-7525
  • Fax: 803-245-6747

Authorized Official

  • Name: MR. Neil L. Pruitt JR.
  • Position/Title: Chairman And Ceo
  • Telephone Number: 770-279-6200

Scope of Practice

  • Taxonomy Code: 314000000X
  • Specialty: Skilled Nursing Facility
  • License Number:
  • License State:
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 108093
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: SC
  • Issuer:

Question & Answers

What is the npi number?

  • Q: What is the npi number for Pruitthealth - Bamberg, Llc?
  • A: The npi number for Pruitthealth - Bamberg, Llc is 1104063718.
  • Q: What are Pruitthealth - Bamberg, Llc's specialties?
  • A: Pruitthealth - Bamberg, Llc's specialties are Skilled Nursing Facility and different specialities.
  • Q: Where is Pruitthealth - Bamberg, Llc business practice location?
  • A: Pruitthealth - Bamberg, Llc business practice location is 439 North St, Bamberg, SC 29003.
  • Q: How to contact Pruitthealth - Bamberg, Llc?
  • A: You can contact Pruitthealth - Bamberg, Llc via 803-245-7525.
  • Q: What is the authorized official for Pruitthealth - Bamberg, Llc?
  • A: The authorized office name is MR. Neil L. Pruitt JR. with position/title is Chairman And Ceo and you can reach the authorized official via phone number 7702796200.