MEDICARE: SLEEP CONTROL

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	:	1720394414
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLEEP CONTROL

Provider Business Mailing Address
First Line	:	4076 DOMAIN DRIVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43230
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4076 DOMAIN DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43230-8496
Country	:	US
Telephone Number	:	614-745-7920
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DEIDRE ABOUAHMED
Credential	:
Telephone Number	:	614-745-7920

Provider Enumeration Date	:	08/19/2010
Last Update Date	:	08/19/2010

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Directions to “SLEEP CONTROL ” Practice Location

Language	Start Address	Practice Location

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