Provider Demographics
NPI:1669774378
Name:SLEEPLESS IN AZ, INC.
Entity type:Organization
Organization Name:SLEEPLESS IN AZ, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:VIDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-327-2771
Mailing Address - Street 1:1926 E FORT LOWELL RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-7315
Mailing Address - Country:US
Mailing Address - Phone:520-327-2771
Mailing Address - Fax:520-327-3177
Practice Address - Street 1:1926 E FORT LOWELL RD
Practice Address - Street 2:SUITE 103
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-7315
Practice Address - Country:US
Practice Address - Phone:520-327-2771
Practice Address - Fax:520-327-3177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-01
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health