Sully Home Care Transportation LLC

NPI #1417547969 in Avon, Massachusetts

Provider Information

NPI Number
1417547969
Entity Type
Organization
Organization Name
Sully Home Care Transportation LLC
Subpart
Yes (part of a larger organization)
Parent Organization
SULLY HOME CARE SERVICES
Primary Specialty
Transportation Broker
Enumeration Date
Jan 19, 2021
Last Updated
Jan 19, 2021

Practice Location

Address
29 MEMORIAL DR
City
Avon
ZIP Code
02322-1918
Phone
(508) 510-6963

Authorized Official

Name
OSMAN E SULLY
Title
VP
Phone
(617) 212-6527

Specialties & Taxonomy Codes

Specialty
Transportation Broker

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