Provider Demographics
NPI:1497150619
Name:SLEEP RESOURCE OF OPELOUSAS, L.L.C.
Entity Type:Organization
Organization Name:SLEEP RESOURCE OF OPELOUSAS, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:SLAVICH
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:337-984-2505
Mailing Address - Street 1:431 ROBIN LANE
Mailing Address - Street 2:
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70570
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:431 ROBIN LANE
Practice Address - Street 2:
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570
Practice Address - Country:US
Practice Address - Phone:337-233-1114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SLEEP RESOURCE, L.L.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-10-30
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic