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Organization
SANCTUM HEALTH PARTNERS, LLC
Active
Organization
SANCTUM HEALTH PARTNERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB JOHNSON (PRESIDENT/COO)
(972) 851-1022
Entity
Organization
Contact information
Practice address
2121 MIDWAY RD STE 145, CARROLLTON, TX 75006-5263
(972) 851-1022
(972) 546-3118
Mailing address
2121 MIDWAY RD STE 145, CARROLLTON, TX 75006-5263
(972) 851-1022
(972) 546-3118
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
393069501
—
TX
Enumeration date
05/01/2018
Last updated
10/23/2024
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