National Provider Identifier Database

MICHAEL G SULLIVAN, RN – NPI #1881074896
Intermediate Care Facility, Mentally Retarded

(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.


Contact Information

MICHAEL G SULLIVAN, RN
30 HOBOMACK RD
QUINCY, MA02169-2508
Phone: 617-773-7329
Fax:
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for MICHAEL G SULLIVAN

NPI Number 1881074896
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 06/04/2015
Last updated 06/04/2015 - About 11 years ago
Sole proprietor1 Yes
Identifiers
  • MA License #: RN2284306
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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