Organization · Type 2 NPI

Pruitthealth - Magnolia Manor, LLC

Skilled Nursing Facility · Moultrie, GA

NPI number 1982651402 Active

Practice location

3003 Veterans Parkway South
Moultrie, GA 31788-6705

Call (229) 985-3422 Map

Fax (229) 985-0227

Mailing address

1626 Jeurgens Ct
Norcross, GA 30093-2219

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	1-035-1653 (GA)

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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About NPI 1982651402

Pruitthealth - Magnolia Manor, LLC's National Provider Identifier is 1982651402, issued on May 29, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Moultrie, GA. The record was last updated on Jun 30, 2014.