Provider Demographics
NPI:1205459203
Name:SERENITY SLEEP SOLUTIONS OF MISSOURI LLC
Entity type:Organization
Organization Name:SERENITY SLEEP SOLUTIONS OF MISSOURI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAUNN
Authorized Official - Middle Name:
Authorized Official - Last Name:STURHAHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-257-0386
Mailing Address - Street 1:34626 150TH AVE
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:IL
Mailing Address - Zip Code:62366-2150
Mailing Address - Country:US
Mailing Address - Phone:217-257-0386
Mailing Address - Fax:217-403-9200
Practice Address - Street 1:1601 E BROADWAY STE 160
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-5821
Practice Address - Country:US
Practice Address - Phone:573-447-8648
Practice Address - Fax:217-403-9200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-26
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment