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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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