Provider Demographics
NPI:1275833550
Name:RICK'S MATTRESS & SLEEP CENTER LLC
Entity Type:Organization
Organization Name:RICK'S MATTRESS & SLEEP CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICKY
Authorized Official - Middle Name:D
Authorized Official - Last Name:HAGETER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-504-8309
Mailing Address - Street 1:2148 W UNION BLVD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-2011
Mailing Address - Country:US
Mailing Address - Phone:610-419-6700
Mailing Address - Fax:
Practice Address - Street 1:2148 W UNION BLVD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-2011
Practice Address - Country:US
Practice Address - Phone:610-419-6700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-02
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies