Provider Demographics
NPI:1942087796
Name:RESTFULL NIGHTS LLC
Entity Type:Organization
Organization Name:RESTFULL NIGHTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:D
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-954-5744
Mailing Address - Street 1:10638 150TH ST
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435-5154
Mailing Address - Country:US
Mailing Address - Phone:718-954-5744
Mailing Address - Fax:718-425-9362
Practice Address - Street 1:10638 150TH ST
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435-5154
Practice Address - Country:US
Practice Address - Phone:718-954-5744
Practice Address - Fax:718-425-9362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health