# SULLIVAN LIFESTYLE SOLUTIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033988407
- **Authorized official:** TALIA SIMONE AZIR MSW (MANAGING MANAGER)
- **Authorized official phone:** (248) 275-3870

## Contact information

- **Practice address:** 24123 GREENFIELD RD STE 306, SOUTHFIELD, MI 48075-3124
- **Practice address phone:** (248) 275-3870
- **Practice address fax:** (248) 918-4337
- **Mailing address:** 28401 MOUND RD UNIT 1664, WARREN, MI 48090-7259
- **Mailing address phone:** (248) 275-3870
- **Mailing address fax:** (248) 918-4337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 12/27/2023
- **Last updated:** 12/27/2023