PINE GROVE ADULT HOME& CARE, INC

NPI # 

Practice Address:

2609 North Garden Lane

Noth Garden, VA, 22959

Practice Phone:

434-295-4408

Practice Fax:

434-295-1185

License Number:

ALF1078422

License State:

VA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Adult Mental Health

Taxonomy Code:

261QM0850X