BETTY JEAN SADLER NPI 1356644983

NPI Information

NPI: 1356644983
Provider Name: BETTY JEAN SADLER
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
800 E PINE FOREST DR
LYNN HAVEN, FL
ZIP 32444
Phone: (850) 271-1262
Get Directions

BETTY JEAN SADLER is a community based residential treatment facility, intellectual and/or developmental disabilities in Lynn Haven, FL. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. BETTY JEAN SADLER NPI is 1356644983. The provider is registered as an organization entity type.

The provider's business location address is:

800 E PINE FOREST DR
LYNN HAVEN, FL
ZIP 32444-371
Phone: (850) 271-1262
Fax: (850) 265-6995

The provider's authorized official is Betty Jean Sadler .
The authorized official title is Supported Living and has the following contact phone number (850) 271-1262.

The enumeration date for this NPI number is 12/21/2010 and was last updated on 12/21/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		678253196	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	678253198	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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