SULLIVAN RESIDENTIAL, LLC
Assisted Living Facility
Sullivan, Missouri
Provider NPI: 1447206768
Organization Information:Organization Name: SULLIVAN RESIDENTIAL, LLC
Practice Location:
775 DUNSFORD DR SULLIVAN, MO 63080 US
Tel: 573-468-2600 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
775 DUNSFORD DR SULLIVAN, MO 63080 US
Tel: 573-468-2600 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility |