Provider Demographics
NPI:1629337712
Name:REM CENTER FOR SLEEP, INC.
Entity Type:Organization
Organization Name:REM CENTER FOR SLEEP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:DWAYNE
Authorized Official - Last Name:GLOVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-743-2330
Mailing Address - Street 1:630 ONEEGA LN STE E
Mailing Address - Street 2:
Mailing Address - City:ERWIN
Mailing Address - State:TN
Mailing Address - Zip Code:37650-2199
Mailing Address - Country:US
Mailing Address - Phone:423-743-2330
Mailing Address - Fax:423-743-5090
Practice Address - Street 1:630 ONEEGA LN STE E
Practice Address - Street 2:
Practice Address - City:ERWIN
Practice Address - State:TN
Practice Address - Zip Code:37650-2199
Practice Address - Country:US
Practice Address - Phone:423-743-2330
Practice Address - Fax:423-743-5090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory