Healthcare Provider Details

I. General information

NPI: 1548205990
Provider Name (Legal Business Name): SLEEP SOLUTIONS OF BATON ROUGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 05/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11606 SOUTHFORK AVE SUITE 401
BATON ROUGE LA
70816-5235
US

IV. Provider business mailing address

P.O. BOX 699
MADISONVILLE LA
70447-0699
US

V. Phone/Fax

Practice location:
  • Phone: 985-875-7557
  • Fax: 985-875-0595
Mailing address:
  • Phone: 985-875-7557
  • Fax: 985-875-0595

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: MRS. JO JUNIUS
Title or Position: DIRECTOR OF BILLING & COLLECTIONS
Credential:
Phone: 985-875-7557