Organization · Type 2 NPI

Mandic Group Inc

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

NPI number 1912193673 Active

Practice location

5155 US Highway 1 S
St. Augustine, FL 32086-7855

Fax (904) 797-5577

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000X4075096 (FL)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: 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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About NPI 1912193673

Mandic Group Inc's National Provider Identifier is 1912193673, issued on Sep 17, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in St. Augustine, FL. The record was last updated on Sep 17, 2007.