-- LEANN SULLIVAN --
Individual Provider (NPI-1)
Active
Home Health Aide
Provider Information
- NPI Number
1598936908- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 16077 N GLACIER PEAK DR, NAMPA, ID, 836518723
- Phone
- (208) 466-0868
Specialties & Taxonomies
Home Health Aide
Primary License: ID #8078924