Provider Demographics
NPI:1952997736
Name:DIAL SULLIVAN HEALTH SPECIALISTS, LLC
Entity Type:Organization
Organization Name:DIAL SULLIVAN HEALTH SPECIALISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-715-9008
Mailing Address - Street 1:113 HUNTERS CT
Mailing Address - Street 2:
Mailing Address - City:LAURENS
Mailing Address - State:SC
Mailing Address - Zip Code:29360-2372
Mailing Address - Country:US
Mailing Address - Phone:864-715-9008
Mailing Address - Fax:
Practice Address - Street 1:113 HUNTERS CT
Practice Address - Street 2:
Practice Address - City:LAURENS
Practice Address - State:SC
Practice Address - Zip Code:29360-2372
Practice Address - Country:US
Practice Address - Phone:864-715-9008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DIAL SULLIVAN HEALTH SPECIALISTS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-12-16
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health