Provider Demographics
NPI:1497191506
Name:SLEEP RITE PSG LLC
Entity Type:Organization
Organization Name:SLEEP RITE PSG LLC
Other - Org Name:SLEEP RITE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DINO
Authorized Official - Middle Name:EDGARDO
Authorized Official - Last Name:VIERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-780-2400
Mailing Address - Street 1:3329 FLORIDA AVE
Mailing Address - Street 2:STE 210
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-3600
Mailing Address - Country:US
Mailing Address - Phone:504-878-0240
Mailing Address - Fax:504-780-2401
Practice Address - Street 1:3329 FLORIDA AVE
Practice Address - Street 2:STE 210
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-3600
Practice Address - Country:US
Practice Address - Phone:504-878-0240
Practice Address - Fax:504-780-2401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-15
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic