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Contact Information

PRUITTHEALTH HOME FIRST, INC.
312 CANNA DRIVE
VALDOSTA, GA31602
 Phone: 229-241-8750
 Fax: 229-241-8940
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
Indicates primary specialty

NPI Profile & details for PRUITTHEALTH HOME FIRST, INC.

NPI # 1982768180
LBN Legal business name PRUITTHEALTH HOME FIRST, INC.
Authorized official NEIL PRUITT - (CHAIRMAN AND CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/21/2006
Last updated 01/19/2018 - About 8 years ago
Identifiers
GA Medicaid 85500800G
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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