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A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Lodging |
177F00000X | |||
Assisted Living Facility |
310400000X | |||
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
320900000X |
| NPI Number | 1831956176 |
| LBN Legal business name | AUGUSTINE PLACE MANOR |
| Authorized official | TANISHA WILSON - (DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/04/2024 |
| Last updated | 03/05/2024 - About 2 years ago |
| Identifiers | n/a |
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AUGUSTINE PLACE MANOR
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AUGUSTINE PLACE MANOR