Provider Demographics
NPI:1346241304
Name:SLEEP UNLIMITED, INC.
Entity Type:Organization
Organization Name:SLEEP UNLIMITED, INC.
Other - Org Name:SLEEP UNLIMITED SOUTHAVEN
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:EALY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-737-9196
Mailing Address - Street 1:764 WALNUT KNOLL LN
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-3113
Mailing Address - Country:US
Mailing Address - Phone:901-737-9196
Mailing Address - Fax:901-758-2479
Practice Address - Street 1:764 WALNUT KNOLL LN
Practice Address - Street 2:SUITE 102
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-3113
Practice Address - Country:US
Practice Address - Phone:901-737-9196
Practice Address - Fax:901-758-2479
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SLEEP UNLIMITED, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-08-02
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3791260Medicare ID - Type UnspecifiedMEDICARE NUMBER