Provider Demographics
NPI:1942647029
Name:RPI SLEEP COMPLETE LLC
Entity Type:Organization
Organization Name:RPI SLEEP COMPLETE LLC
Other - Org Name:SLEEP COMPLETE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DARIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WALLACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-970-9019
Mailing Address - Street 1:1310 WEST MAIN STREET
Mailing Address - Street 2:SUITE 201
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72801
Mailing Address - Country:US
Mailing Address - Phone:866-567-2430
Mailing Address - Fax:866-567-9560
Practice Address - Street 1:1310 WEST MAIN STREET
Practice Address - Street 2:SUITE 201
Practice Address - City:RUSSELLVILLE
Practice Address - State:AR
Practice Address - Zip Code:72801
Practice Address - Country:US
Practice Address - Phone:866-567-2430
Practice Address - Fax:866-567-9560
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REAL PRACTICES INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-05-29
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic