Whalio Doctors

NPI 1245497551

Kbs Walter Group LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility St Augustine, FL

Practice location

Address
5155 US Highway 1 S, St Augustine, FL 32086-7855
Phone
(904) 797-5027
Fax
(904) 797-5577

Authorised official

Name
William Robert Walter
Title
Owner President
Phone
(904) 797-5027

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X

Registry record

NPI
1245497551
Entity type
Organization
NPI issued
22 May 2008
Record last updated
22 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.