Provider Demographics
NPI:1982969341
Name:SLEEP IP
Entity Type:Organization
Organization Name:SLEEP IP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:HINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-571-9562
Mailing Address - Street 1:1001 TREETOPS BLVD
Mailing Address - Street 2:STE. 2
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-7606
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1001 TREETOPS BLVD
Practice Address - Street 2:STE. 2
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-7606
Practice Address - Country:US
Practice Address - Phone:601-932-7284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-11
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies