NPI 1447206768

Sullivan Residential, LLC

Organisation Assisted Living Facility Sullivan, MO

Practice location

Address: 775 Dunsford Dr, Sullivan, MO 63080-1270
Phone: (573) 468-2600

Authorised official

Name: Kyle Timothy Schade
Title: Manager
Phone: (573) 471-1113

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Missouri →

Registry record

NPI: 1447206768
Entity type: Organization
NPI issued: 26 May 2006
Record last updated: 5 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.