| NPI | 1720667090 |
|---|---|
| Doing Business As | PRUITTHEALTH @ HOME - VIDALIA |
| Entity Type | Organization |
| Authorized Contact | NICOLE MARIE CLEMENTS Senior Corporate Paralegal 678-533-6395 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2021-04-05 |