Provider Demographics
NPI:1831800309
Name:PULASKI SLEEP LLC
Entity type:Organization
Organization Name:PULASKI SLEEP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMMERBECK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:920-822-8388
Mailing Address - Street 1:985 CORPORATE WAY
Mailing Address - Street 2:
Mailing Address - City:PULASKI
Mailing Address - State:WI
Mailing Address - Zip Code:54162-2701
Mailing Address - Country:US
Mailing Address - Phone:920-822-8388
Mailing Address - Fax:
Practice Address - Street 1:985 CORPORATE WAY
Practice Address - Street 2:
Practice Address - City:PULASKI
Practice Address - State:WI
Practice Address - Zip Code:54162
Practice Address - Country:US
Practice Address - Phone:920-822-8388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABH ENTERPRISES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-12-06
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No122300000XDental ProvidersDentistGroup - Multi-Specialty