Organization
MANDIC GROUP INC
Active
Other names
d/b/a St. Augustine Center for Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK MANDIC (OWNER/PRES.)
(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
4075096
FL
Other
Enumeration date
09/17/2007
Last updated
09/17/2007
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