PINE GROVE INC.
Residential Treatment Facilities at Chestnut Rd, Elgin, SC

License number
South Carolina SR0008132001CCI
Category
Residential Treatment Facilities
Type
Residential Treatment Facility, Emotionally Disturbed Children
Owner
Name: MR. JAMES D. MOEN
Title: EXECUTIVE DIRECTOR
Phone: (803) 438-3011
Address
Address
1500 Chestnut Rd, Elgin, SC 29045
National Provider ID: 1346307899
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PINE GROVE, INC

Elgin, SC

Industry:
Special Education School
Registration:
Aug 25, 1993
Phone:
(803) 438-3011 (Phone)
Addresses:
1500 Chestnut Rd, Elgin, SC 29045 (Physical)
PO Box 100, Elgin, SC 29045
Business type:
Domestic
Formation place:
SOUTH CAROLINA
Directors:
Carl Herring (President),Pat Sauls (Secretary),Anita Gotwals (Vice-President),...
Agent:
David S. Perhach

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