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Organization
PINE GROVE OPCO LLC
Active
Organization
PINE GROVE OPCO LLC
Active
Parent organization
PINE GROVE OPCO LLC
Other names
Pine Grove
Organization subpart
Yes
Provider details
NPI number
Legal business name
PINE GROVE OPCO LLC
Authorized official
DORIS SINGLETON (EXECUTIVE DIRECTOR)
(803) 438-3011
Entity
Organization
Contact information
Practice address
1500 CHESTNUT RD, ELGIN, SC 29045-9022
(803) 438-3011
Mailing address
PO BOX 100, ELGIN, SC 29045-0100
(803) 438-3011
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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