Provider Demographics
NPI:1356832349
Name:CRESCENT CITY SLEEP AND DME
Entity Type:Organization
Organization Name:CRESCENT CITY SLEEP AND DME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANEGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAZIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NADEEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-575-6945
Mailing Address - Street 1:4232 WILLIAMS BLVD STE 111
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-2271
Mailing Address - Country:US
Mailing Address - Phone:504-405-5582
Mailing Address - Fax:
Practice Address - Street 1:4232 WILLIAMS BLVD STE 111
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-2271
Practice Address - Country:US
Practice Address - Phone:504-405-5582
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-24
Last Update Date:2018-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies