OrganizationActive
Care Center (sullivan Park) Inc
NPI 1487640678 · Skilled Nursing Facility · Spokane Valley, WA
Provider details
- NPI number
- 1487640678
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Gregory Vislocky, Assistant to President/Ceo(360) 735-7155
- License
- 1345 (WA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
14820 E 4th Ave
Spokane Valley, WA 99216-2165
Phone: (509) 922-1644
Fax: (509) 922-8817
Approximate (ZIP-level) locationGet directions
Mailing address
7700 Ne Parkway Dr
Vancouver, WA 98662-6648
Other names (DBA / former)
- Doing business as
- Sullivan Park Care Center
Registry dates
- Enumerated
- 2005-09-22
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.