Provider Demographics
NPI:1669631354
Name:SLEEP WELL CENTERS, LLC
Entity Type:Organization
Organization Name:SLEEP WELL CENTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:PATTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-213-6220
Mailing Address - Street 1:24 FRANK LLOYD WRIGHT DRIVE
Mailing Address - Street 2:SUITE A3300
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48106-9484
Mailing Address - Country:US
Mailing Address - Phone:888-996-4319
Mailing Address - Fax:877-204-0094
Practice Address - Street 1:8848 COMMONS BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-6808
Practice Address - Country:US
Practice Address - Phone:888-996-4319
Practice Address - Fax:877-204-0094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-06
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
SLID02861Medicare PIN