Provider Demographics
NPI:1821474743
Name:TRUELOVE SLEEP SOLUTIONS, INC
Entity Type:Organization
Organization Name:TRUELOVE SLEEP SOLUTIONS, INC
Other - Org Name:KOALA CENTER FOR SLEEP DISORDERS IN-1
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KESSLER
Authorized Official - Middle Name:
Authorized Official - Last Name:TRUELOVE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:574-318-7766
Mailing Address - Street 1:230 E DAY RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:MISHAWAKA
Mailing Address - State:IN
Mailing Address - Zip Code:46545-3408
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:230 E DAY RD
Practice Address - Street 2:SUITE 150
Practice Address - City:MISHAWAKA
Practice Address - State:IN
Practice Address - Zip Code:46545-3408
Practice Address - Country:US
Practice Address - Phone:574-318-7766
Practice Address - Fax:574-318-7762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-03
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12009049A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty