Organization
BETTY JEAN SADLER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTY JEAN SADLER (SUPPORTED LIVING)
(850) 271-1262
Entity
Organization
Contact information
Practice address
800 E PINE FOREST DR, LYNN HAVEN, FL 32444-4371
(850) 271-1262
(850) 265-6995
Mailing address
800 E PINE FOREST DR, LYNN HAVEN, FL 32444-4371
(850) 271-1262
(850) 265-6995
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
678253196
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
678253198
—
FL
Enumeration date
12/21/2010
Last updated
12/21/2010
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