# MANDIC GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** d/b/a St. Augustine Center for Living
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912193673
- **Authorized official:** MR. MARK MANDIC (OWNER/PRES.)
- **Authorized official phone:** (904) 797-5027

## Contact information

- **Practice address:** 5155 US HIGHWAY 1 S, ST AUGUSTINE, FL 32086-7855
- **Practice address phone:** (904) 797-5027
- **Practice address fax:** (904) 797-5577
- **Mailing address:** 5155 US HIGHWAY 1 S, ST AUGUSTINE, FL 32086-7855
- **Mailing address phone:** (904) 797-5027
- **Mailing address fax:** (904) 797-5577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 4075096 | FL | Yes |

## Other

- **Enumeration date:** 09/17/2007
- **Last updated:** 09/17/2007