MEDICARE: SLEEP MANAGEMENT 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	332BX2000X	Oxygen Equipment & Supplies (DME)

General Provider Information

NPI Number	:	1649449976
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLEEP MANAGEMENT LLC

Provider Business Mailing Address
First Line	:	PO BOX 62688
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70596-2688
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11424 SULLIVAN RD
Second Line	:	BLDG C, STE B
City	:	BATON ROUGE
State	:	LA
Zip	:	70818-3615
Country	:	US
Telephone Number	:	337-504-3946
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. CASEY HOYT
Credential	:
Telephone Number	:	337-504-3802

Provider Enumeration Date	:	02/20/2008
Last Update Date	:	02/20/2008

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