Provider Demographics
NPI:1407150659
Name:REST ASSURED SLEEP CENTERS, LLC
Entity Type:Organization
Organization Name:REST ASSURED SLEEP CENTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHEIF OPERATING OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:JUMOKE
Authorized Official - Middle Name:
Authorized Official - Last Name:AKKINAGBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-897-8445
Mailing Address - Street 1:2629 RIVA RD
Mailing Address - Street 2:STE 108
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7428
Mailing Address - Country:US
Mailing Address - Phone:410-897-8445
Mailing Address - Fax:866-429-2689
Practice Address - Street 1:11165 STRATFIELD CT
Practice Address - Street 2:1ST FLOOR
Practice Address - City:MARRIOTTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21104-1625
Practice Address - Country:US
Practice Address - Phone:410-897-8445
Practice Address - Fax:866-429-2689
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REST ASSURED SLEEP CENTERS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-01-03
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173F00000XOther Service ProvidersSleep Specialist, PhDGroup - Multi-Specialty