PRUITTHEALTH HOME HEALTH, INC.
Custodial Care Facility
Rome, Georgia
Provider NPI: 1215976626
Organization Information:Organization Name: PRUITTHEALTH HOME HEALTH, INC.
Practice Location:
31 THREE RIVERS DR NE ROME, GA 30161 US
Tel: 706-232-5908 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
31 THREE RIVERS DR NE ROME, GA 30161 US
Tel: 706-232-5908 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 251E00000X | Agencies Home Health |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
414129674A | GA | 05 |
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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