Organization · Type 2 NPI

Pruitthealth Hospice, Inc

Community Based Hospice Care Agency · Valdosta, GA

NPI number 1063450666 Active

Practice location

407 Cowart Ave
Valdosta, GA 31602-2635

Call (229) 242-1187 Map

Fax (229) 242-0562

Mailing address

1626 Jeurgens Ct, Legal Dept
Norcross, GA 30093-2219

Specialties and licenses

Taxonomy	Code	License
Hospice and Palliative Medicine (Internal Medicine) Physician	207RH0002X	None listed
Community Based Hospice Care Agency Primary	251G00000X	None listed

Community Based Hospice Care Agency: Definition to come...

2 other providers at this address

Courtney Tamara Jackson, NPFamily Nurse Practitioner Valdosta, GA NPI 1457966509
Shaleta Preaster, LCSWClinical Social Worker Valdosta, GA NPI 1235086257

Other community based hospice care agency providers in Valdosta

See all in Valdosta →

NPI record

NPI: 1063450666
Entity type: Organization (Type 2)
Issued: Jun 3, 2006
Last updated: Sep 15, 2021
Status: Active

Other names

<unavail>
Pruitthealth Hospice - Valdosta · doing business as
Pruitthealth Hospice - Valdosta · doing business as

Authorized official

Neil L Pruitt
Chairman and CEO
(770) 925-1143

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1063450666

Pruitthealth Hospice, Inc's National Provider Identifier is 1063450666, issued on Jun 3, 2006. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Valdosta, GA. The record was last updated on Sep 15, 2021.