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Organization

THE SANCTUARY ADULT PROGRAM, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JANICE MARIE WARD (DIRECTOR)
(314) 521-7930
Entity
Organization

Contact information

Practice address
1440 CHAMBERS RD, SAINT LOUIS, MO 63135
(314) 521-7930
(314) 524-3811
Mailing address
1440 CHAMBERS RD, SAINT LOUIS, MO 63135
(314) 521-7930
(314) 524-3811

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
895
MO
251J00000X
Nursing Care Agency
895
MO

Other

Enumeration date
09/17/2010
Last updated
09/17/2010
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