Provider Demographics
NPI:1902299464
Name:SLEEP RESOURCES OF OPELOUSAS, LLC
Entity Type:Organization
Organization Name:SLEEP RESOURCES OF OPELOUSAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MOSES
Authorized Official - Middle Name:MWESIGWA
Authorized Official - Last Name:KITAKULE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:337-298-6611
Mailing Address - Street 1:PO BOX 53447
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70505-3447
Mailing Address - Country:US
Mailing Address - Phone:337-233-1114
Mailing Address - Fax:
Practice Address - Street 1:413 ROBIN LN
Practice Address - Street 2:
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-9113
Practice Address - Country:US
Practice Address - Phone:337-233-1114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-09
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic