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Mr. Michael Gregory Sullivan, RN
Intellectual Disabilities Intermediate Care Facility in Quincy, Massachusetts
NPI 1881074896

Michael Gregory Sullivan is a Intellectual Disabilities Intermediate Care Facility based in Quincy, MA. Michael Gregory Sullivan practices in Quincy, MA and has the professional credentials of RN. The NPI Number for Michael Gregory Sullivan is 1881074896 and holds a License No. RN2284306 (Massachusetts).

The current practice location address for Michael Gregory Sullivan is 30 Hobomack Rd, Quincy, MA and can be reached out via phone at 617-773-7329.

Location: 30 Hobomack Rd, Quincy, MA, 02169-2508
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881074896
Provider Name
Michael Gregory Sullivan
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
30 Hobomack Rd, Quincy, MA, 02169-2508
Phone Number
617-773-7329
Fax Number
Provider Enumeration Date
06/04/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
30 Hobomack Rd
City
Quincy
State
Massachusetts
Zip
02169-2508
Phone Number
617-773-7329
Fax Number
person
Provider Business Mailing Address Details
Address
30 Hobomack Rd
City
Quincy
State
Massachusetts
Zip
02169-2508
Phone Number
617-773-7329
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
RN2284306 (Massachusetts)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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