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Mandic Group Inc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in St Augustine, Florida
NPI 1912193673

Mandic Group Inc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in St Augustine, FL. Mandic Group Inc practices in St Augustine, FL. The NPI Number for Mandic Group Inc is 1912193673 and holds a License No. 4075096 (Florida).

The current practice location address for Mandic Group Inc is 5155 Us Highway 1 S, St Augustine, FL and can be reached out via phone at 904-797-5027 and via fax at 904-797-5577.

Location: 5155 Us Highway 1 S, St Augustine, FL, 32086-7855
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912193673
Provider Name
Mandic Group Inc
Credential
Provider Entity Type
Organization
Address
5155 Us Highway 1 S, St Augustine, FL, 32086-7855
Phone Number
904-797-5027
Fax Number
904-797-5577
Provider Enumeration Date
09/17/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5155 Us Highway 1 S
City
St Augustine
State
Florida
Zip
32086-7855
Phone Number
904-797-5027
Fax Number
904-797-5577
person
Provider Business Mailing Address Details
Address
5155 Us Highway 1 S
City
St Augustine
State
Florida
Zip
32086-7855
Phone Number
904-797-5027
Fax Number
904-797-5577
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
4075096 (Florida)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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