Organization
SULLIVAN ASSISTED LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON COHEN (ADMINISTRATOR)
(828) 685-8611
Entity
Organization
Contact information
Practice address
34 MONET COURT, FLAT ROCK, NC 28731-9786
(828) 685-8611
Mailing address
PO BOX 112, EAST FLAT ROCK, NC 28726-0112
(828) 685-8611
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL-045-084
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804752
—
NC
Enumeration date
03/01/2007
Last updated
08/22/2020
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