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Organization

ROPERS PERSONAL HOME CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JULIA ANN ROPER (OWNER / ALF)
(850) 643-8607
Entity
Organization

Contact information

Practice address
17112 NW CHARLIE JOHNS ST, BLOUNTSTOWN, FL 32424-1308
(850) 643-8607
(850) 674-5144
Mailing address
PO BOX 735, BLOUNTSTOWN, FL 32424-0735
(850) 643-8607
(850) 674-5144

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL-12
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
140805400
FL
Enumeration date
12/06/2010
Last updated
12/06/2010
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