Healthcare Provider Details
I. General information
NPI: 1871766279
Provider Name (Legal Business Name): ADVANCED CARE SLEEP LABS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/07/2008
Last Update Date: 04/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4656 N HIGHWAY 7 SUITE M2
HOT SPRINGS VILLAGE AR
71909-9483
US
IV. Provider business mailing address
PO BOX 9180
HOT SPRINGS VILLAGE AR
71910-9180
US
V. Phone/Fax
- Phone: 501-984-6777
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QS1200X |
| Taxonomy | Sleep Disorder Diagnostic Clinic/Center |
| License Number | |
| License Number State | AR |
VIII. Authorized Official
Name: MR.
MARTIN
MILNER
Title or Position: PRESIDENT
Credential:
Phone: 501-984-6777