Provider Demographics
NPI:1952573560
Name:FOR SLEEP SAKE
Entity Type:Organization
Organization Name:FOR SLEEP SAKE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:LIST
Authorized Official - Suffix:
Authorized Official - Credentials:CRT
Authorized Official - Phone:717-840-8447
Mailing Address - Street 1:540 APPLE TREE LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT WOLF
Mailing Address - State:PA
Mailing Address - Zip Code:17347-9003
Mailing Address - Country:US
Mailing Address - Phone:717-840-8447
Mailing Address - Fax:717-318-5885
Practice Address - Street 1:540 APPLE TREE LN
Practice Address - Street 2:
Practice Address - City:MOUNT WOLF
Practice Address - State:PA
Practice Address - Zip Code:17347-9003
Practice Address - Country:US
Practice Address - Phone:717-840-8447
Practice Address - Fax:717-318-5885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-24
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA3725392332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies