| NPI | 1760192439 |
|---|---|
| Doing Business As | PRUITTHEALTH @ HOME - COLUMBUS |
| Entity Type | Organization |
| Authorized Contact | LYNETHIA NYTONYA HOLLEY Provider Enrollment Specilist 678-296-0751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2022-12-02 |