Healthcare Provider Details

I. General information

NPI: 1255685103
Provider Name (Legal Business Name): GOOD NIGHT SLEEP SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2012
Last Update Date: 10/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 WAYNE RD SUITE # 107
ROMULUS MI
48174-3445
US

IV. Provider business mailing address

10000 WAYNE RD
ROMULUS MI
48174-3445
US

V. Phone/Fax

Practice location:
  • Phone: 734-323-7776
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: RHONDA DOUGLAS
Title or Position: OWNER
Credential:
Phone: 734-323-7776