# SULLIVAN SERVICES, INC.

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

## Provider details

- **NPI number:** 1306305438
- **Authorized official:** MR. JAMES SULLIVAN (PRESIDENT)
- **Authorized official phone:** (260) 485-2424

## Contact information

- **Practice address:** 2789-B MAPLECREST RD, FORT WAYNE, IN 46815
- **Practice address phone:** (260) 485-2424
- **Practice address fax:** (260) 969-9932
- **Mailing address:** 2789-B MAPLECREST RD, FORT WAYNE, IN 46815
- **Mailing address phone:** (260) 485-2424
- **Mailing address fax:** (260) 969-9932

## Taxonomy

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

## Other

- **Enumeration date:** 03/18/2019
- **Last updated:** 03/18/2019