| NPI | 1942337068 |
|---|---|
| Doing Business As | SULLIVAN PARK ASSISTED LIVING COMMUNITY |
| Entity Type | Organization |
| Authorized Contact | GREGORY J VISLOCKY Managing Member 360-735-7155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WA 1612) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |