Organization
SULLIVAN VENTURES LLC
Active
Other names
Sullivan Park Assisted Living Community
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J VISLOCKY (MANAGING MEMBER)
(360) 735-7155
Entity
Organization
Contact information
Practice address
421 S ADAMS RD, SPOKANE VALLEY, WA 99216-2121
(509) 924-5555
(509) 924-8890
Mailing address
7700 NE PARKWAY DR, SUITE 300, VANCOUVER, WA 98662-6648
(360) 735-7155
(360) 735-9416
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1612
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
966047
—
WA
Enumeration date
02/27/2007
Last updated
08/22/2020
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