Healthcare Provider Details

I. General information

NPI: 1992548689
Provider Name (Legal Business Name): SUNSET SLEEP AND WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2024
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 SPRING RUN DR
FAIRHOPE AL
36532-1925
US

IV. Provider business mailing address

29 SPRING RUN DR
FAIRHOPE AL
36532-1925
US

V. Phone/Fax

Practice location:
  • Phone: 251-732-6277
  • Fax:
Mailing address:
  • Phone: 251-732-6277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: LORI HARRIS MINTO
Title or Position: OWNER
Credential: MD
Phone: 251-732-6277