Provider Demographics
NPI:1225620883
Name:SLEEP & SNORING CPAP ALTERNATIVES ARIZONA LLC
Entity Type:Organization
Organization Name:SLEEP & SNORING CPAP ALTERNATIVES ARIZONA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORENA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORHEAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-586-6101
Mailing Address - Street 1:1050 E UNIVERSITY DR STE 12
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85203-8046
Mailing Address - Country:US
Mailing Address - Phone:480-742-9425
Mailing Address - Fax:602-671-0663
Practice Address - Street 1:1050 E UNIVERSITY DR STE 12
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85203-8046
Practice Address - Country:US
Practice Address - Phone:480-742-9425
Practice Address - Fax:602-671-0663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-05
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Multi-Specialty