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Organization
KBS WALTER GROUP LLC
Active
Organization
KBS WALTER GROUP LLC
Active
Other names
dba St Augustine Center for Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM ROBERT WALTER (OWNER PRESIDENT)
(904) 797-5027
Entity
Organization
Contact information
Practice address
5155 US HIGHWAY 1 S, ST AUGUSTINE, FL 32086-7855
(904) 797-5027
(904) 797-5577
Mailing address
5155 US HIGHWAY 1 S, ST AUGUSTINE, FL 32086-7855
(904) 797-5027
(904) 797-5577
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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