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PRUITTHEALTH - BLUE RIDGE LLC

Nursing Yellow Pages

Blue Ridge, Georgia

Provider NPI: 1710010715

Organization Information:
Organization Name:  PRUITTHEALTH - BLUE RIDGE LLC


Practice Location:
74 OUIDA STREET  BLUE RIDGE, GA 30513 US
Tel: 706-258-2819  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home

Other Provider Identifiers:

IssuerNumberStateType
00140973AGA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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