| NPI | 1487640678 |
|---|---|
| Doing Business As | SULLIVAN PARK CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | GREGORY J VISLOCKY Assistant To President/CEO 360-735-7155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WA 1345) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2020-08-22 |