Michael Gregory Sullivan, RN Valid NPI

Individual provider · Intellectual Disabilities Intermediate Care Facility · Quincy, MA

NPI

1881074896

Type

Individual (Type 1)

Primary specialty

Intellectual Disabilities Intermediate Care Facility (Intermediate Care Facility, Intellectual Disabilities)

Specialty group

Nursing & Custodial Care Facilities

Taxonomy code

315P00000X

License number

RN2284306 (MA)

Sex

Male

Sole proprietor

Yes

Enumerated

2015-06-04

Last updated

2015-06-04