Organization Name: | RELIANCE SLEEP CENTERS OF AMERICA, PA |
NPI Number: | 1306118658 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MIKE SHEHEE (PRESIDENT) |
Mailing Address: | 761 E Cherry St Jesup |
State: | GA US |
Postal Code: | 315465168 |
Phone Number: | 9123852481 |
Fax Number: | 9123852491 |
NPI Enumeration Date: | 02/02/2012 |
NPI Last Update Date: | 02/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Sleep Disorder Diagnostic |
Taxonomy Definition: |