IndividualActive
Gabrielle Sullivan
NPI 1053922286 · Home Health Agency · Willowick, OH
Provider details
- NPI number
- 1053922286
- Entity type
- Individual
- Primary specialty
- Home Health AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
30901 Lake Shore Blvd Apt 117
Willowick, OH 44095-3610
Phone: (216) 213-3760
Approximate (ZIP-level) locationGet directions
Mailing address
30901 Lake Shore Blvd Apt 117
Willowick, OH 44095-3610
Registry dates
- Enumerated
- 2020-08-11
- Last updated
- 2020-08-11
- Certified
- 2020-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.