IndividualActive
Michael Sullivan, RN
NPI 1881074896 · Intellectual Disabilities Intermediate Care Facility · Quincy, MA
Provider details
- NPI number
- 1881074896
- Entity type
- Individual
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- License
- RN2284306 (MA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
30 Hobomack Rd
Quincy, MA 02169-2508
Phone: (617) 773-7329
Approximate (ZIP-level) locationGet directions
Mailing address
30 Hobomack Rd
Quincy, MA 02169-2508
Registry dates
- Enumerated
- 2015-06-04
- Last updated
- 2015-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.