Organization · Type 2 NPI
Pine Grove Opco LLC
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Elgin, SC
Practice location
1500 Chestnut Rd
Elgin, SC 29045-9022
Mailing address
PO Box 100
Elgin, SC 29045-0100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
About NPI 1053072470
Pine Grove Opco LLC's National Provider Identifier is 1053072470, issued on Jan 7, 2022. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Elgin, SC. The record was last updated on Jan 7, 2022.