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Organization
SACRED TRUST HEALTHCARE SERVICES LLC
Active
Organization
SACRED TRUST HEALTHCARE SERVICES LLC
Active
Other names
Sacred Trust Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COREY THOMAS (ADMINISTRATOR)
(386) 916-7582
Entity
Organization
Contact information
Practice address
503 MAGNOLIA ST, PALATKA, FL 32177-8194
(386) 916-7582
(504) 324-3603
Mailing address
2424 OXFORD PL, GRETNA, LA 70056-3054
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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