Provider Demographics
NPI:1710082797
Name:SLEEP SERVICFES OF JASPER, LLC
Entity Type:Organization
Organization Name:SLEEP SERVICFES OF JASPER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATIONS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:YAEGER
Authorized Official - Suffix:
Authorized Official - Credentials:RRT, RPSGT
Authorized Official - Phone:706-253-2378
Mailing Address - Street 1:620 J L WHITE DR
Mailing Address - Street 2:SUITE 130
Mailing Address - City:JASPER
Mailing Address - State:GA
Mailing Address - Zip Code:30143-4896
Mailing Address - Country:US
Mailing Address - Phone:706-253-2378
Mailing Address - Fax:706-253-2379
Practice Address - Street 1:620 J L WHITE DR
Practice Address - Street 2:SUITE 130
Practice Address - City:JASPER
Practice Address - State:GA
Practice Address - Zip Code:30143-4896
Practice Address - Country:US
Practice Address - Phone:706-253-2378
Practice Address - Fax:706-253-2379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA47BBBLFMedicare ID - Type UnspecifiedINDEPENDENT TESTING FACIL