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PRUITTHEALTH - MOULTRIE, LLC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
MOULTRIE, GA
Licensed since
2005
Rate
—
Federal compliance record
Total fines$0
Payment denials / penalties0
Abuse flagNone on record
Federal identifiers
NPI registry number1598747073
CMS Certification Number (CCN)115505
Agency details
Avg residents / day64.6
OwnershipFor profit - Limited Liability company
Chain affiliationPRUITTHEALTH
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameNEIL PRUITT
TitleCHAIRMAN AND CEO OF MANAGER
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