Provider Demographics
NPI:1518514116
Name:DELAWARE SLEEP DISORDER CENTERS, LLC
Entity Type:Organization
Organization Name:DELAWARE SLEEP DISORDER CENTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LYRON
Authorized Official - Middle Name:ANDRE
Authorized Official - Last Name:DEPUTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-652-5109
Mailing Address - Street 1:261 CHAPMAN RD STE 100
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-5426
Mailing Address - Country:US
Mailing Address - Phone:302-652-5109
Mailing Address - Fax:302-286-7800
Practice Address - Street 1:2116 S DUPONT HWY STE 3
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:DE
Practice Address - Zip Code:19934-1259
Practice Address - Country:US
Practice Address - Phone:302-652-5109
Practice Address - Fax:302-286-7800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-20
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic