MEDICARE: SLEEP AMERICA HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1144475716
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLEEP AMERICA HEALTH

Provider Business Mailing Address
First Line	:	111 N MAIN ST
Second Line	:	306
City	:	ROYAL OAK
State	:	MI
Zip	:	48067-1847
Country	:	US
Telephone Number	:	248-431-6987
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 N MAIN ST
Second Line	:	306
City	:	ROYAL OAK
State	:	MI
Zip	:	48067-1847
Country	:	US
Telephone Number	:	248-431-6987
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	STACIE LEVY
Credential	:
Telephone Number	:	248-431-6987

Provider Enumeration Date	:	11/24/2008
Last Update Date	:	11/24/2008

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Directions to “SLEEP AMERICA HEALTH ” Practice Location

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