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Pine Grove Opco Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Elgin, South Carolina
NPI 1053072470

Pine Grove Opco Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Elgin, SC. Pine Grove Opco Llc practices in Elgin, SC. The NPI Number for Pine Grove Opco Llc is 1053072470 and holds a License No. (South Carolina).

The current practice location address for Pine Grove Opco Llc is 1500 Chestnut Rd, Elgin, SC and can be reached out via phone at 803-438-3011.

Location: 1500 Chestnut Rd, Elgin, SC, 29045-0100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053072470
Provider Name
Pine Grove Opco Llc
Credential
Provider Entity Type
Organization
Address
1500 Chestnut Rd, Elgin, SC, 29045-0100
Phone Number
803-438-3011
Fax Number
Provider Enumeration Date
01/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1500 Chestnut Rd
City
Elgin
State
South Carolina
Zip
29045-9022
Phone Number
803-438-3011
Fax Number
person
Provider Business Mailing Address Details
Address
1500 Chestnut Rd
City
Elgin
State
South Carolina
Zip
29045-9022
Phone Number
803-438-3011
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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