MEDICARE: DELAWARE SLEEP DISORDER CENTERS, LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1548743743
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DELAWARE SLEEP DISORDER CENTERS, LLC

Provider Business Mailing Address
First Line	:	261 CHAPMAN RD STE 100
Second Line	:
City	:	NEWARK
State	:	DE
Zip	:	19702-5426
Country	:	US
Telephone Number	:	302-652-5109
Fax Number	:	302-533-6059

Provider Business Practice Location Address
First Line	:	18675 COASTAL HWY UNIT 2A
Second Line	:
City	:	REHOBOTH BEACH
State	:	DE
Zip	:	19971-6146
Country	:	US
Telephone Number	:	302-652-5109
Fax Number	:	302-533-6059

Authorized Official
Title or Position	:	CEO
Name	:	LYRON ANDRE DEPUTY
Credential	:
Telephone Number	:	302-449-7484

Provider Enumeration Date	:	09/13/2018
Last Update Date	:	02/09/2023

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