Organization
ST AUGUSTINE SENIOR LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANGHUA HE (MANAGING MEMBER)
(904) 522-2526
Entity
Organization
Contact information
Practice address
5805 DATIL PEPPER RD, ST AUGUSTINE, FL 32086-5699
(904) 522-2526
Mailing address
5805 DATIL PEPPER RD, ST AUGUSTINE, FL 32086-5699
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/29/2025
Last updated
08/29/2025
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