Provider Demographics
NPI:1972734093
Name:SLEEP STAGERS
Entity Type:Organization
Organization Name:SLEEP STAGERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEDD
Authorized Official - Suffix:JR
Authorized Official - Credentials:RPSGT,CRT,EMT- P
Authorized Official - Phone:931-308-9967
Mailing Address - Street 1:2284 OLD TULLAHOMA RD
Mailing Address - Street 2:PO BOX 35
Mailing Address - City:WINCHESTER
Mailing Address - State:TN
Mailing Address - Zip Code:37398-4360
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2284 OLD TULLAHOMA RD
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37398-4360
Practice Address - Country:US
Practice Address - Phone:931-308-9967
Practice Address - Fax:931-308-9967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies