Provider Demographics
NPI:1609024264
Name:SLEEP SOLUTIONS OF HENDERSON
Entity Type:Organization
Organization Name:SLEEP SOLUTIONS OF HENDERSON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:EDENFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-837-8868
Mailing Address - Street 1:99 DOCTORS DR STE 200
Mailing Address - Street 2:P.O. BOX 995
Mailing Address - City:MUNFORD
Mailing Address - State:TN
Mailing Address - Zip Code:38058-6303
Mailing Address - Country:US
Mailing Address - Phone:901-837-8868
Mailing Address - Fax:
Practice Address - Street 1:1314 US HIGHWAY 45 N
Practice Address - Street 2:SUITE F
Practice Address - City:HENDERSON
Practice Address - State:TN
Practice Address - Zip Code:38340-4003
Practice Address - Country:US
Practice Address - Phone:901-837-8868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-08
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic