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
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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