Pine Grove Group Home, LLC
Pine Grove Group Home, LLC is a Meals Provider in North Garden, Virginia. Licensed in Virginia. Registered with an NPI since 2017.
- Licensed in
- VA
- In the registry since
- 2017
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4116 Red Hill School RdNorth Garden, VA 22959-1733
Phone: (434) 295-1615
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence 069801001 (VA) |
|---|---|
| Meals Provider | Taxonomy 174200000X |
Record details
| NPI number | 1922519826 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stephanie Jones — Deputy Director · (434) 981-4052 |
| NPI enumerated | October 18, 2017 |
| Last updated in NPPES | June 16, 2018 |
| Mailing address | 4116 Red Hill School Rd, North Garden, VA 22959-1733 |