Organization
MVP GROUP HOME I LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE CASON (OWNER)
(904) 669-8446
Entity
Organization
Contact information
Practice address
266 N TWIN MAPLE RD, SAINT AUGUSTINE, FL 32084-8398
(904) 669-8446
Mailing address
701 SAN JOSE RD, ST AUGUSTINE, FL 32086-6551
(904) 669-8446
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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