| Organization Name: | MAUMELLE SLEEP SOLUTIONS, LLC |
| NPI Number: | 1215176177 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN MICHAEL FULTON (OWNER/OPERATOR) |
| Mailing Address: | 501 Millwood Cir Suite F Maumelle |
| State: | AR US |
| Postal Code: | 721136327 |
| Phone Number: | 5012358242 |
| Fax Number: | 8665621199 |
| NPI Enumeration Date: | 02/16/2009 |
| NPI Last Update Date: | 05/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Sleep Disorder Diagnostic |
| Taxonomy Definition: | |