Organization Name: | SLEEP WELLNESS CENTER L L C |
NPI Number: | 1508828393 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAURA PALLAN (MANAGING MEMBER) |
Mailing Address: | 993 Brodhead Rd Suite 200 Moon Twp |
State: | PA US |
Postal Code: | 151082331 |
Phone Number: | 4122644611 |
Fax Number: | 4122648620 |
NPI Enumeration Date: | 04/05/2006 |
NPI Last Update Date: | 02/17/2016 |
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: |