Healthcare Provider Details
I. General information
NPI: 1811154552
Provider Name (Legal Business Name): TOTAL SLEEP HOLDINGS, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/20/2008
Last Update Date: 07/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13470 S ARAPAHO DR STE 170
OLATHE KS
66062-1615
US
IV. Provider business mailing address
13470 S ARAPAHO DR STE 170
OLATHE KS
66062-1615
US
V. Phone/Fax
- Phone: 913-393-0466
- Fax: 913-393-0717
- Phone: 913-393-0466
- Fax: 913-393-0717
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:
WILLIAM
J
GUIDETTI
Title or Position: CEO
Credential:
Phone: 469-499-2857