Organization Name: | SLEEP PARTNERS, LLC |
NPI Number: | 1316256985 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CLINT MICKLE (EXECUTIVE DIRECTOR) |
Mailing Address: | 7500 Dollarway Rd White Hall |
State: | AR US |
Postal Code: | 716023027 |
Phone Number: | 5012245200 |
Fax Number: | 5012245208 |
NPI Enumeration Date: | 09/30/2010 |
NPI Last Update Date: | 05/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1200X |
License Number: | 261QS1200X |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Sleep Disorder Diagnostic |
Taxonomy Definition: |