Individual
AMINDA SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2248 KIMBALL ST, PHILADELPHIA, PA 19146-2524
(610) 606-8537
(215) 884-3718
Mailing address
2248 KIMBALL ST, PHILADELPHIA, PA 19146-2524
(610) 606-8537
(215) 884-3718
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
31433601
PA
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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