Sullivan Hco, LLC
NPI #1417913583 in Sullivan, Illinois
Provider Information
- NPI Number
- 1417913583
- Entity Type
- Organization
- Organization Name
- Sullivan Hco, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Apr 26, 2006
- Last Updated
- Sep 24, 2020
Practice Location
Authorized Official
- Name
- MARK B. PETERSEN
- Title
- MANAGER
- Phone
- (309) 689-5880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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