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Organization
SULLIVAN LIFESTYLE SOLUTIONS LLC
Active
Organization
SULLIVAN LIFESTYLE SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TALIA SIMONE AZIR MSW (MANAGING MANAGER)
(248) 275-3870
Entity
Organization
Contact information
Practice address
24123 GREENFIELD RD STE 306, SOUTHFIELD, MI 48075-3124
(248) 275-3870
(248) 918-4337
Mailing address
28401 MOUND RD UNIT 1664, WARREN, MI 48090-7259
(248) 275-3870
(248) 918-4337
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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