St. Augustine Health System Delaware LLC

NPI #1932825635 in Newark, Delaware

Provider Information

NPI Number: 1932825635
Entity Type: Organization
Organization Name: St. Augustine Health System Delaware LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Oct 13, 2022
Last Updated: Oct 13, 2022

Practice Location

Address: 200 CONTINENTAL DR STE 401
City: Newark
State: Delaware
ZIP Code: 19713-4337
Phone: (443) 703-9933

Authorized Official

Name: MR. AUGUSTINE JACOBSON
Title: CHIEF EXECUTIVE OFFICER
Phone: (443) 703-9933

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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