Individual provider · Type 1 NPI

Brent Sullivan

Nursing Home Administrator · Rolesville, NC

NPI number 1831019538 Active

Practice location

308 Cherubic Way
Rolesville, NC 27571

Mailing address

1812 Armor Crest Ln
Wake Forest, NC 27587-1841

Specialties and licenses

TaxonomyCodeLicense
Nursing Home Administrator Primary 376G00000XNone listed

Nursing Home Administrator: An individual, often licensed by the state, who is responsible for the management of a nursing home.

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About NPI 1831019538

Brent Sullivan's National Provider Identifier is 1831019538, issued on Jul 21, 2026. The primary taxonomy on file is Nursing Home Administrator (376G00000X), and the practice location is in Rolesville, NC. The record was last updated on Jul 21, 2026.