Organization
PINELANDS GROUP HOME
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
(843) 873-1002
Mailing address
201 E LUKE AVE, SUMMERVILLE, SC 29483-6834
(843) 851-0079
(843) 873-1002
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SR0008195001CC1
SC
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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