| St. Augustine Transitional Home | |
|
7004 Security Blvd Ste 300 Windsor Mill MD 21244-2534 | |
| (410) 725-2324 | |
| Not Available |
| Full Name | St. Augustine Transitional Home |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7004 Security Blvd Ste 300, Windsor Mill, Maryland |
| Authorized Official Name and Position | Augustine Jacobson (C.E.O) |
| Authorized Official Contact | 4107252324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Augustine Transitional Home 7004 Security Blvd Ste 300 Windsor Mill MD 21244-2534 Ph: () - | St. Augustine Transitional Home 7004 Security Blvd Ste 300 Windsor Mill MD 21244-2534 Ph: (410) 725-2324 |
| NPI Number | 1902629694 |
|---|---|
| Provider Enumeration Date | 11/01/2024 |
| Last Update Date | 11/01/2024 |
| Certification Date | 11/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902629694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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