Individual provider · Type 1 NPI
Cassandra Michelle Sullivan
Adult Day Care Clinic/Center · Augsta, GA
NPI number
1457072324
Active
Practice location
1926 Thomas Lane Augusta, Ga
Augsta, GA 30815-3081
Mailing address
1926 Thomas Ln
Augusta, GA 30904-5114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Day Care Clinic/Center Primary | 261QA0600X | ADC000309 (GA) |
Adult Day Care Clinic/Center: Definition to come...
About NPI 1457072324
Cassandra Michelle Sullivan's National Provider Identifier is 1457072324, issued on Sep 8, 2022. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Augsta, GA. The record was last updated on Sep 8, 2022.