# SACRED TRUST HEALTHCARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sacred Trust Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942664248
- **Authorized official:** MR. COREY THOMAS (ADMINISTRATOR)
- **Authorized official phone:** (386) 916-7582

## Contact information

- **Practice address:** 503 MAGNOLIA ST, PALATKA, FL 32177-8194
- **Practice address phone:** (386) 916-7582
- **Practice address fax:** (504) 324-3603
- **Mailing address:** 2424 OXFORD PL, GRETNA, LA 70056-3054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | Yes |
| 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