Provider Demographics
NPI:1649742099
Name:SLEEP THERAPY LLC
Entity type:Organization
Organization Name:SLEEP THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:BACHOUR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-297-4407
Mailing Address - Street 1:20405 EXCHANGE ST STE 201
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-5934
Mailing Address - Country:US
Mailing Address - Phone:703-297-4407
Mailing Address - Fax:703-297-4421
Practice Address - Street 1:20405 EXCHANGE ST STE 201
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-5934
Practice Address - Country:US
Practice Address - Phone:703-297-4407
Practice Address - Fax:703-297-4421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-26
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental