Individual
BETTY J. GAINES SADLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 E PINE FOREST DR, LYNN HAVEN, FL 32444-4371
(850) 624-1767
Mailing address
800 E PINE FOREST DR, LYNN HAVEN, FL 32444-4371
(850) 624-1767
(850) 265-6995
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
251E00000X
Home Health Agency
—
FL
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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