Healthcare Provider Details

I. General information

NPI: 1932010360
Provider Name (Legal Business Name): TEN SLEEP SENIOR CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 2ND ST
TEN SLEEP WY
82442-5005
US

IV. Provider business mailing address

15 BOULDEN CIRCLE STE 100
NEW CASTLE DE
90041-9726
US

V. Phone/Fax

Practice location:
  • Phone: 302-213-3723
  • Fax:
Mailing address:
  • Phone: 302-213-3720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY PACKARD
Title or Position: MANAGING MEMBER
Credential: MD
Phone: 302-213-3720