# SULLIVAN HEALTH & LIVING CENTER, INC.

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

## Provider details

- **NPI number:** 1710952866
- **Authorized official:** DR. STEPHEN G. MOORE M. D. (PRESIDENT CEO)
- **Authorized official phone:** (812) 332-2265

## Contact information

- **Practice address:** 325 W NORTHWOOD DR, SULLIVAN, IN 47882-7515
- **Practice address phone:** (812) 268-3351
- **Practice address fax:** (812) 268-3765
- **Mailing address:** 3249 E COVENANTER DR, BLOOMINGTON, IN 47401-5479
- **Mailing address phone:** (812) 332-2265
- **Mailing address fax:** (812) 334-0853

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | IN | Yes |

## Other

- **Enumeration date:** 02/22/2006
- **Last updated:** 08/22/2020