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Sullivan Residential, LLC

NPI #1447206768 in Sullivan, Missouri

Provider Information

NPI Number
1447206768
Entity Type
Organization
Organization Name
Sullivan Residential, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
May 26, 2006
Last Updated
Feb 5, 2026

Practice Location

Address
775 DUNSFORD DR
City
Sullivan
State
Missouri
ZIP Code
63080-1270
Phone
(573) 468-2600

Authorized Official

Name
KYLE TIMOTHY SCHADE
Title
MANAGER
Phone
(573) 471-1113

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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