Provider Demographics
NPI:1720199383
Name:SLEEP SOLUTIONS, INC.
Entity Type:Organization
Organization Name:SLEEP SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHLOE
Authorized Official - Middle Name:F
Authorized Official - Last Name:AINSWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-249-9443
Mailing Address - Street 1:410 COWART AVE
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602-2622
Mailing Address - Country:US
Mailing Address - Phone:229-249-9443
Mailing Address - Fax:229-249-9543
Practice Address - Street 1:410 COWART AVE
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-2622
Practice Address - Country:US
Practice Address - Phone:229-249-9443
Practice Address - Fax:229-249-9543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA13226261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA47BBBMLMedicare ID - Type Unspecified