Organization
AUGUSTINE PLACE MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANISHA WILSON (DIRECTOR)
(267) 357-9124
Entity
Organization
Contact information
Practice address
48 AUGUSTINE PL, BEAR, DE 19701-1007
(267) 357-9124
(888) 398-5774
Mailing address
100 MCMULLEN AVE UNIT 1022, NEW CASTLE, DE 19720-8038
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
310400000X
Assisted Living Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
03/04/2024
Last updated
03/05/2024
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