Provider Demographics
NPI:1891922365
Name:SLEEP SOLUTIONS OF THIBODAUX
Entity Type:Organization
Organization Name:SLEEP SOLUTIONS OF THIBODAUX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BILLING & COLLECTIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:JO
Authorized Official - Middle Name:
Authorized Official - Last Name:JUNIUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-875-7557
Mailing Address - Street 1:P.O. BOX 699
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70447-0699
Mailing Address - Country:US
Mailing Address - Phone:985-875-7557
Mailing Address - Fax:985-875-0595
Practice Address - Street 1:2000 AUDUBON AVE
Practice Address - Street 2:SUITE C
Practice Address - City:THIBODAUX
Practice Address - State:LA
Practice Address - Zip Code:70301-5075
Practice Address - Country:US
Practice Address - Phone:985-446-0552
Practice Address - Fax:985-447-1061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-11
Last Update Date:2009-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies