NPI 1932825635

St. Augustine Health System Delaware LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Newark, DE

Practice location

Address: 200 Continental Dr STE 401, Newark, DE 19713-4337
Phone: (443) 703-9933
Mailing address: 7004 Security Blvd STE 300, Windsor Mill, MD 21244-2534

Authorised official

Name: Augustine Jacobson
Title: Chief Executive Officer
Phone: (443) 703-9933

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Delaware →

Registry record

NPI: 1932825635
Entity type: Organization
NPI issued: 13 Oct 2022
Record last updated: 13 Oct 2022

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.