PRUITTHEALTH - HIGH POINT, LLC
Intermediate Care Facility, Mental Illness
High Point, North Carolina
Provider NPI: 1144277666
Organization Information:Organization Name: PRUITTHEALTH - HIGH POINT, LLC
Practice Location:
3830 N MAIN ST HIGH POINT, NC 27265 US
Tel: 336-869-3524 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:
3830 N MAIN ST HIGH POINT, NC 27265 US
Tel: 336-869-3524 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | NC | NH0021 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
3416326 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin