NPI 1912193673

Mandic Group INC

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: Mark Mandic
Title: Owner/Pres.
Phone: (904) 797-5027

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 4075096 (FL)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Florida →

Registry record

NPI: 1912193673
Entity type: Organization
NPI issued: 17 Sep 2007
Record last updated: 17 Sep 2007

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.