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Pine Grove Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility in Elgin, South Carolina
NPI 1346307899

Pine Grove Inc. is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Elgin, SC. Pine Grove Inc. practices in Elgin, SC. The NPI Number for Pine Grove Inc. is 1346307899 and holds a License No. SR0008132001CCI (South Carolina).

The current practice location address for Pine Grove Inc. is 1500 Chestnut Road, Elgin, SC and can be reached out via phone at 803-438-3011 and via fax at 803-438-8611.

Location: 1500 Chestnut Road, Elgin, SC, 29045-0100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346307899
Provider Name
Pine Grove Inc.
Credential
Provider Entity Type
Organization
Address
1500 Chestnut Road, Elgin, SC, 29045-0100
Phone Number
803-438-3011
Fax Number
803-438-8611
Provider Enumeration Date
01/03/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
961MXH 05 SC
institution
Provider Business Practice Location Address Details
Address
1500 Chestnut Road
City
Elgin
State
South Carolina
Zip
29045-0100
Phone Number
803-438-3011
Fax Number
803-438-8611
person
Provider Business Mailing Address Details
Address
1500 Chestnut Road
City
Elgin
State
South Carolina
Zip
29045-0100
Phone Number
803-438-3011
Fax Number
803-438-8611
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
SR0008132001CCI (South Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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