Organization
SULLIVAN SNF HEALTHCARE LLC
Active
Other names
Sullivan Park Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MITCHELL (SECRETARY)
(801) 447-9829
Entity
Organization
Contact information
Practice address
14820 E 4TH AVE, SPOKANE VALLEY, WA 99216-2165
(509) 922-1644
Mailing address
262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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