Healthcare Provider Details

I. General information

NPI: 1801441886
Provider Name (Legal Business Name): NEW LIFE SLEEP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2019
Last Update Date: 09/29/2021
Certification Date: 09/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11526 HIGHLAND RD
HARTLAND MI
48353-2711
US

IV. Provider business mailing address

11526 HIGHLAND RD
HARTLAND MI
48353-2711
US

V. Phone/Fax

Practice location:
  • Phone: 248-860-1330
  • Fax:
Mailing address:
  • Phone: 248-860-1330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH D CRANSTON
Title or Position: OWNER
Credential: DDS
Phone: 248-860-1330