Healthcare Provider Details

I. General information

NPI: 1285548065
Provider Name (Legal Business Name): SANCTUARY ADULT DAY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1915 ROCK CUT PL
CONLEY GA
30288-2104
US

IV. Provider business mailing address

1915 ROCK CUT PL
CONLEY GA
30288-2104
US

V. Phone/Fax

Practice location:
  • Phone: 400-800-5557
  • Fax: 470-231-0161
Mailing address:
  • Phone: 400-800-5557
  • Fax: 470-231-0161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: ARNOLD RUFFIN
Title or Position: PASTOR/OWNER
Credential: PASTOR
Phone: 400-800-5557