Doctor Name: | SARAH ROPER |
NPI Number: | 1184028037 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | AL12565 |
Business Practice Address: | 17112 Nw Charlie Johns St Blountstown, FL - 324241308 |
Business Phone Number: | 8506741090 |
Business Fax Number: | 8506741090 |
Mailing Address: | 17112 Nw Charlie Johns St, BLOUNTSTOWN |
State: | FL |
Postal Code: | 324241308 |
Phone Number: | 8506741090 |
Fax Number: | 8506741090 |
NPI Enumeration Date: | 10/21/2014 |
NPI Last Update Date: | 10/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3104A0625X |
License Number: | AL12565 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | Assisted Living, Mental Illness |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |