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Pine Grove Opco LLC — NPI 1053072470, Elgin, SC | NPI Central

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NPI 1053072470

OrganizationActive

Pine Grove Opco LLC

NPI 1053072470 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Elgin, SC

Provider details

NPI number: 1053072470
Entity type: Organization
Primary specialty: Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
Parent organization: Pine Grove Opco LLC
Organization subpart: Yes
Authorized official: Doris Singleton, Executive Director(803) 438-3011

Specialties & taxonomies

Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000X
Residential Treatment Facilities

Practice location

1500 Chestnut Rd

Elgin, SC 29045-9022

Phone: (803) 438-3011

Approximate (ZIP-level) locationGet directions

More SC providers

Mailing address

Po Box 100

Elgin, SC 29045-0100

Other names (DBA / former)

Doing business as: Pine Grove

Registry dates

Enumerated: 2022-01-07
Last updated: 2022-01-07
Certified: 2022-01-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.