MEDICARE: SLEEP SAFE SOLUTIONS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QS1200X	Sleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number	:	1124521042
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLEEP SAFE SOLUTIONS INC

Provider Business Mailing Address
First Line	:	4952 S RAINBOW BLVD STE 340
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-1335
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4952 S RAINBOW BLVD STE 340
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-1335
Country	:	US
Telephone Number	:	702-482-5348
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JIM BOYLE
Credential	:	RRT-SDS
Telephone Number	:	702-482-5348

Provider Enumeration Date	:	03/16/2018
Last Update Date	:	03/16/2018

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