NPI 1578982849

Sharel Sullivan

Practitioner Adult Care Home Facility Dallas, TX

Practice location

Address: 12248 China Lake Dr, Dallas, TX 75253-3045
Phone: (972) 670-0559

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

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Registry record

NPI: 1578982849
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Apr 2014
Record last updated: 15 Apr 2014

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.