# SANCTUARY GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033450101
- **Authorized official:** MS. LAURA ANN FREDERICK (PRESIDENT)
- **Authorized official phone:** (714) 869-1478

## Contact information

- **Practice address:** 3419 VIA LIDO, SUITE 612, NEWPORT BEACH, CA 92663-3908
- **Practice address phone:** (714) 869-1478
- **Mailing address:** 3419 VIA LIDO, SUITE 612, NEWPORT BEACH, CA 92663-3908
- **Mailing address phone:** (714) 869-1478

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | 000000000 | CA | Yes |

## Other

- **Enumeration date:** 03/13/2013
- **Last updated:** 03/13/2013