Provider Demographics
NPI:1265125926
Name:SLEEP ELITE LLC
Entity type:Organization
Organization Name:SLEEP ELITE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ESCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-979-7923
Mailing Address - Street 1:1569 JANMAR RD STE E
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-5780
Mailing Address - Country:US
Mailing Address - Phone:770-979-7923
Mailing Address - Fax:
Practice Address - Street 1:255 GATEWAY LN STE 200
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:GA
Practice Address - Zip Code:30620-1824
Practice Address - Country:US
Practice Address - Phone:679-963-5790
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SLEEP ELITE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment