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Mrs. Cassandra Michelle Sullivan
Adult Day Care Clinic/Center in Augsta, Georgia
NPI 1457072324

Cassandra Michelle Sullivan is an Adult Day Care Clinic/Center based in Augusta, GA and is specialized in Adult Day Care. Cassandra Michelle Sullivan practices in Augsta, GA. The NPI Number for Cassandra Michelle Sullivan is 1457072324 and holds a License No. ADC000309 (Georgia).

The current practice location address for Cassandra Michelle Sullivan is 1926 Thomas Lane Augusta, Ga, Augsta, GA and can be reached out via phone at 706-910-2727.

Location: 1926 Thomas Lane Augusta, Ga, Augsta, GA, 30904-5114
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457072324
Provider Name
Cassandra Michelle Sullivan
Credential
Provider Entity Type
Individual
Gender
Female
Address
1926 Thomas Lane Augusta, Ga, Augsta, GA, 30904-5114
Phone Number
706-910-2727
Fax Number
Provider Enumeration Date
09/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1926 Thomas Lane Augusta, Ga
City
Augsta
State
Georgia
Zip
30815-3081
Phone Number
706-910-2727
Fax Number
person
Provider Business Mailing Address Details
Address
1926 Thomas Lane Augusta, Ga
City
Augsta
State
Georgia
Zip
30815-3081
Phone Number
706-910-2727
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
261QA0600X
License No.
ADC000309 (Georgia)
Definition
Definition to come...
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