Organization Name: | PRUITTHEALTH HOSPICE, INC. |
NPI Number: | 1003853516 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NEIL L PRUITT (CHAIRMAN AND CEO) |
Mailing Address: | 301 S Church Street Suite 122 Station Square Rocky Mount |
State: | NC US |
Postal Code: | 278045748 |
Phone Number: | 2524429126 |
Fax Number: | 2524429580 |
NPI Enumeration Date: | 06/01/2006 |
NPI Last Update Date: | 07/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |