Organization
SULLIVAN HEALTH & LIVING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN G. MOORE M. D. (PRESIDENT CEO)
(812) 332-2265
Entity
Organization
Contact information
Practice address
325 W NORTHWOOD DR, SULLIVAN, IN 47882-7515
(812) 268-3351
(812) 268-3765
Mailing address
3249 E COVENANTER DR, BLOOMINGTON, IN 47401-5479
(812) 332-2265
(812) 334-0853
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IN
Other
Enumeration date
02/22/2006
Last updated
08/22/2020
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