Provider Demographics
NPI:1295101335
Name:SLEEP WELLNESS CARE CENTER
Entity type:Organization
Organization Name:SLEEP WELLNESS CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER-O'SHEA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-792-4649
Mailing Address - Street 1:1504 N CHURCH RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:LIBERTY
Mailing Address - State:MO
Mailing Address - Zip Code:64068-7129
Mailing Address - Country:US
Mailing Address - Phone:816-792-4649
Mailing Address - Fax:816-792-5297
Practice Address - Street 1:1504 N CHURCH RD
Practice Address - Street 2:SUITE A
Practice Address - City:LIBERTY
Practice Address - State:MO
Practice Address - Zip Code:64068-7129
Practice Address - Country:US
Practice Address - Phone:816-792-4649
Practice Address - Fax:816-792-5297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-12
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment