Provider Demographics
NPI:1568571149
Name:SANFORD CENTER FOR SLEEP DISORDERS, L.L.C.
Entity Type:Organization
Organization Name:SANFORD CENTER FOR SLEEP DISORDERS, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ED
Authorized Official - Middle Name:EVERETT
Authorized Official - Last Name:HILLIS
Authorized Official - Suffix:
Authorized Official - Credentials:RPSGT
Authorized Official - Phone:919-776-0512
Mailing Address - Street 1:PO BOX 865
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27331-0865
Mailing Address - Country:US
Mailing Address - Phone:919-776-0512
Mailing Address - Fax:919-776-0517
Practice Address - Street 1:345 CARTHAGE ST
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-4206
Practice Address - Country:US
Practice Address - Phone:919-776-0512
Practice Address - Fax:919-776-0517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies