Healthcare Provider Details

I. General information

NPI: 1366170078
Provider Name (Legal Business Name): DREAM CATCHER SLEEP CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2022
Last Update Date: 08/10/2022
Certification Date: 08/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6100 COORS BLVD NW STE K6
ALBUQUERQUE NM
87120-2776
US

IV. Provider business mailing address

6100 COORS BLVD NW STE K6
ALBUQUERQUE NM
87120-2776
US

V. Phone/Fax

Practice location:
  • Phone: 505-897-7740
  • Fax: 505-899-7475
Mailing address:
  • Phone: 505-897-7740
  • Fax: 505-899-7475

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MS. ANNETTE MARIE ARMIJO
Title or Position: OFFICE MANAGER
Credential:
Phone: 505-897-7740