Sullivan, Autumn Leree

Sullivan, Autumn Leree is an sole proprietor health care provider with primary practice located at 1672 Dominion Dr , Akron OH 44313. She recently has 4 registered licenses in different health care specialties including Agencies / Home Health, Agencies / In Home Supportive Care, Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Home Health Aide. Nursing Service Related Providers / Home Health Aide is her primary health care specialty. Sullivan, Autumn Leree can be contacted via phone (330) 245-4281.

Contact Information

Primary practice address
1672 Dominion Dr Akron OH 44313
Phone: (330) 245-4281
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / In Home Supportive Care 253Z00000X
Nursing Service Related Providers / Homemaker 376J00000X
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1184289605
LBN Legal business name Sullivan, Autumn Leree
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2019
Last updated Jun 6th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184289605 NPPES
Ohio MEDICAID 0332254

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