NPI 1881074896

Michael Gregory Sullivan, RN

Practitioner Intellectual Disabilities Intermediate Care Facility Quincy, MA

Practice location

Address: 30 Hobomack Rd, Quincy, MA 02169-2508
Phone: (617) 773-7329

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence RN2284306 (MA)

Other Intermediate Care Facility, Intellectual Disabilities providers in Massachusetts →

Registry record

NPI: 1881074896
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jun 2015
Record last updated: 4 Jun 2015

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.