Whalio Doctors

NPI 1629117163

St. Augustine Group Homes, INC

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

Practice location

Address
1735 State Road 16, St Augustine, FL 32084-0807
Phone
(904) 824-4391
Fax
(904) 826-3835

Authorised official

Name
Shane Moran
Title
Administrator
Phone
(904) 824-4391

Registered specialties (5)

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

Registry record

NPI
1629117163
Entity type
Organization
NPI issued
5 Feb 2007
Record last updated
22 Aug 2020

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.