Provider Demographics
NPI:1164185120
Name:ADVANCED SLEEP AND BREATHING CENTERS, LLC
Entity Type:Organization
Organization Name:ADVANCED SLEEP AND BREATHING CENTERS, LLC
Other - Org Name:ADVANCED SLEEP AND TMJ CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HR AND CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:PLATT
Authorized Official - Last Name:HUTTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-457-3843
Mailing Address - Street 1:PO BOX 2363
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29528-2363
Mailing Address - Country:US
Mailing Address - Phone:843-397-5337
Mailing Address - Fax:843-273-4952
Practice Address - Street 1:1021 CIPRIANA DR STE 220
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29572-4621
Practice Address - Country:US
Practice Address - Phone:843-397-5337
Practice Address - Fax:843-273-4952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-18
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment