# SULLY HOME CARE AFC LLC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SULLY HOME CARE AFC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770373110
- **Authorized official:** OSMAN SULLY (VP)
- **Authorized official phone:** (617) 212-6527

## Contact information

- **Practice address:** 29 MEMORIAL DR, AVON, MA 02322-1918
- **Practice address phone:** (508) 510-6963
- **Practice address fax:** (508) 857-4472
- **Mailing address:** 29 MEMORIAL DR, AVON, MA 02322-1918
- **Mailing address phone:** (617) 212-6527

## Taxonomy

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

## Other

- **Enumeration date:** 05/08/2025
- **Last updated:** 05/08/2025