Organization · Type 2 NPI

Pruitthealth - Santa Rosa, LLC

Skilled Nursing Facility · Milton, FL

NPI number 1316992605 Active

Practice location

5530 Northrop Road
Milton, FL 32570-8701

Call (850) 983-8888 Map

Fax (850) 983-8880

Mailing address

1626 Jeurgens Ct
Norcross, GA 30093-2219

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	SNF130471024 (FL)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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NPI record

NPI: 1316992605
Entity type: Organization (Type 2)
Issued: May 24, 2006
Last updated: Jun 3, 2021
Status: Active

Other names

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Pruitthealth - Santa Rosa · doing business as
Pruitthealth - Santa Rosa · doing business as

Authorized official

Neil L. Pruitt
Chairman & CEO of MGR
(770) 279-6200

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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.

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About NPI 1316992605

Pruitthealth - Santa Rosa, LLC's National Provider Identifier is 1316992605, issued on May 24, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Milton, FL. The record was last updated on Jun 3, 2021.