Healthcare Provider Details

I. General information

NPI: 1689839334
Provider Name (Legal Business Name): 4 DAY MATTRESS COMPANY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2008
Last Update Date: 07/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41781 12TH ST W SUITE A
PALMDALE CA
93551-1425
US

IV. Provider business mailing address

41781 12TH ST W SUITE A
PALMDALE CA
93551-1425
US

V. Phone/Fax

Practice location:
  • Phone: 661-974-8026
  • Fax: 661-974-8029
Mailing address:
  • Phone: 661-974-8026
  • Fax: 661-974-8029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number139135
License Number StateCA

VIII. Authorized Official

Name: CARLA LEIGH
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 661-974-8026