# BESSIE BURTON SULLIVAN HOME HEALTH AGENCY

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

## Provider details

- **NPI number:** 1407858681
- **Authorized official:** MS. DOROTHY R GRAINGER RN, MSN, MBA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (206) 328-7850

## Contact information

- **Practice address:** 2424 156TH AVE NE, BELLEVUE, WA 98007-3814
- **Practice address phone:** (425) 519-1265
- **Practice address fax:** (425) 641-1115
- **Mailing address:** 1020 E JEFFERSON ST, SEATTLE, WA 98122-5336
- **Mailing address phone:** (206) 328-7850
- **Mailing address fax:** (206) 568-8575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | IS- 234 | WA | Yes |

## Other

- **Enumeration date:** 06/01/2005
- **Last updated:** 11/09/2007