Healthcare Provider Details

I. General information

NPI: 1851218499
Provider Name (Legal Business Name): EXCEPTIONAL SLEEP CENTER OF THE GRAND VALLEY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 KIP LN
GRAND JUNCTION CO
81503-4753
US

IV. Provider business mailing address

246 KIP LN
GRAND JUNCTION CO
81503-4753
US

V. Phone/Fax

Practice location:
  • Phone: 928-230-9730
  • Fax:
Mailing address:
  • Phone: 928-230-9730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LENEIR RANDLE
Title or Position: OWNER/CEO
Credential:
Phone: 928-230-9730