Provider Demographics
NPI:1679886089
Name:SLEEP WAVES OF DAGSBORO, DELAWARE LLC
Entity Type:Organization
Organization Name:SLEEP WAVES OF DAGSBORO, DELAWARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:S
Authorized Official - Last Name:HURLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RPSGT
Authorized Official - Phone:410-749-4040
Mailing Address - Street 1:31038 COUNTRY GDNS STE D2&D3
Mailing Address - Street 2:
Mailing Address - City:DAGSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19939-5410
Mailing Address - Country:US
Mailing Address - Phone:410-749-4040
Mailing Address - Fax:410-749-4590
Practice Address - Street 1:31038 COUNTRY GDNS STE D2&D3
Practice Address - Street 2:
Practice Address - City:DAGSBORO
Practice Address - State:DE
Practice Address - Zip Code:19939-5410
Practice Address - Country:US
Practice Address - Phone:410-749-4040
Practice Address - Fax:410-749-4590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-15
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic