Provider Demographics
NPI:1801039201
Name:SLEEP LOGISTICS LLC
Entity Type:Organization
Organization Name:SLEEP LOGISTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP CLINICAL OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:FROST
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:609-774-4511
Mailing Address - Street 1:12 SAMANTHA CT
Mailing Address - Street 2:
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-3151
Mailing Address - Country:US
Mailing Address - Phone:609-774-4511
Mailing Address - Fax:
Practice Address - Street 1:12 SAMANTHA CT
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-3151
Practice Address - Country:US
Practice Address - Phone:609-774-4511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-14
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies