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Organization

ST. AUGUSTINE HEALTH SYSTEM DELAWARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. AUGUSTINE JACOBSON (CHIEF EXECUTIVE OFFICER)
(443) 703-9933
Entity
Organization

Contact information

Practice address
200 CONTINENTAL DR STE 401, NEWARK, DE 19713-4337
(443) 703-9933
Mailing address
7004 SECURITY BLVD STE 300, WINDSOR MILL, MD 21244-2534
(443) 703-9933

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
10/13/2022
Last updated
10/13/2022
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