Healthcare Provider Details
I. General information
NPI: 1750700548
Provider Name (Legal Business Name): AHI SLEEP HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/09/2014
Last Update Date: 04/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8201 CANTRELL RD SUITE 300
LITTLE ROCK AR
72227-2453
US
IV. Provider business mailing address
8201 CANTRELL RD SUITE 300
LITTLE ROCK AR
72227-2453
US
V. Phone/Fax
- Phone: 501-454-9433
- Fax:
- Phone: 501-454-9433
- 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 | |
VIII. Authorized Official
Name: MR.
ROCKY
HARDY
Title or Position: MANAGING MEMBER
Credential:
Phone: 501-454-9433