Organization · NPI-2
Pruitthealth - North Tampa, LLC
Skilled Nursing Facility · Lutz, FL
NPI number1821705237
StatusActive
Last updated in NPPESNov 4, 2022
Details
- NPI
- 1821705237
- Entity type
- Organization (NPI-2)
- Legal business name
- Pruitthealth - North Tampa, LLC
- Organization subpart
- No
- Enumeration date
- Nov 4, 2022
- Certification date
- Nov 3, 2022
- Last updated
- Nov 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Practice location
18940 Sunlake BlvdLutz, FL 33558-4943
Phone 770-296-6200
Mailing address
1626 Jeurgens CtAttn: Legal Dept
Norcross, GA 30093
Phone 770-279-6200
Authorized official
Neil L Pruitt
Chairman And Ceo
7702796200
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