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Mvp Group Home I Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Saint Augustine, Florida
NPI 1689300568

Mvp Group Home I Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in St Augustine, FL. Mvp Group Home I Llc practices in Saint Augustine, FL. The NPI Number for Mvp Group Home I Llc is 1689300568 and holds a License No. (Florida).

The current practice location address for Mvp Group Home I Llc is 266 N Twin Maple Rd, Saint Augustine, FL and can be reached out via phone at 904-669-8446.

Location: 266 N Twin Maple Rd, Saint Augustine, FL, 32086-6551
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689300568
Provider Name
Mvp Group Home I Llc
Credential
Provider Entity Type
Organization
Address
266 N Twin Maple Rd, Saint Augustine, FL, 32086-6551
Phone Number
904-669-8446
Fax Number
Provider Enumeration Date
07/25/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
266 N Twin Maple Rd
City
Saint Augustine
State
Florida
Zip
32084-8398
Phone Number
904-669-8446
Fax Number
person
Provider Business Mailing Address Details
Address
266 N Twin Maple Rd
City
Saint Augustine
State
Florida
Zip
32084-8398
Phone Number
904-669-8446
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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