42D0986188 CLIA NUMBER - PINEWOOD PLACE

Laboratory Demographics

CLIA Number: 42D0986188

Facility Name: PINEWOOD PLACE

Facility Address:
101 CENTENNIAL BOULEVARD
GOOSE CREEK, SC
ZIP 29445
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Facility Phone Number: (843) 569-2520

Facility Type: ASSISTED LIVING FACILITY

Certificate Type: Waiver

NPI Number: 1003003393

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	42D0986188
LAB Type	ASSISTED LIVING FACILITY
Facility Name	PINEWOOD PLACE
Street	101 CENTENNIAL BOULEVARD
City	GOOSE CREEK
State	SC
ZIP	29445
Phone	(843) 569-2520

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This page was last updated on: 5/11/2023