Organization
SAINT AUGUSTINE GROUP HOMES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUGUSTINE DANQUAH (CEO)
(571) 213-0778
Entity
Organization
Contact information
Practice address
13402 NICKLESON DR, WOODBRIDGE, VA 22193-4131
(571) 213-0778
Mailing address
13402 NICKLESON DR, WOODBRIDGE, VA 22193-4131
(571) 213-0778
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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