Healthcare Provider Details

I. General information

NPI: 1114357944
Provider Name (Legal Business Name): PREMIER SLEEP SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2013
Last Update Date: 10/20/2021
Certification Date: 10/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7138 S HIGHLAND DR STE 215
SALT LAKE CITY UT
84121-3784
US

IV. Provider business mailing address

75 S 100 E STE 1E
ST GEORGE UT
84770-3469
US

V. Phone/Fax

Practice location:
  • Phone: 801-821-2596
  • Fax: 801-821-2598
Mailing address:
  • Phone: 801-821-2596
  • Fax: 801-821-2598

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateUT

VIII. Authorized Official

Name: MARIE WESTERN
Title or Position: MANAGER
Credential:
Phone: 801-821-2596