NPI | 1942664248 |
---|---|
Doing Business As | SACRED TRUST HEALTHCARE |
Entity Type | Organization |
Authorized Contact | COREY THOMAS Administrator 386-916-7582 |
Organization Subpart ? | No |
Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
Enumeration Date | 2016-04-12 |
Last Update Date | 2016-04-12 |