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Organization
PINELANDS GROUP HOME, INC.
Active
Organization
PINELANDS GROUP HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOETTE KIZER (CEO)
(843) 851-0079
Entity
Organization
Contact information
Practice address
201 E LUKE AVE, SUMMERVILLE, SC 29483-6834
(843) 851-0079
Mailing address
201 E LUKE AVE, SUMMERVILLE, SC 29483-6834
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
RTF-0026
SC
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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