Provider Demographics
NPI:1881751618
Name:SLEEP EZ LLC
Entity type:Organization
Organization Name:SLEEP EZ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:FLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:RRT RPSGT
Authorized Official - Phone:931-840-5425
Mailing Address - Street 1:PO BOX 245
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38402
Mailing Address - Country:US
Mailing Address - Phone:931-840-5425
Mailing Address - Fax:931-840-6287
Practice Address - Street 1:502 NORTH GARDEN
Practice Address - Street 2:STE 107
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401
Practice Address - Country:US
Practice Address - Phone:931-840-5425
Practice Address - Fax:931-840-6287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3149082OtherBCBS
TN3790564Medicaid
TN3790564Medicaid
TN3790564Medicaid