Provider Demographics
NPI:1548527088
Name:RESTFUL NIGHTS SLEEP CENTER
Entity type:Organization
Organization Name:RESTFUL NIGHTS SLEEP CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:LEANNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:GORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPSGT
Authorized Official - Phone:814-772-4916
Mailing Address - Street 1:225 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:RIDGWAY
Mailing Address - State:PA
Mailing Address - Zip Code:15853-2033
Mailing Address - Country:US
Mailing Address - Phone:814-772-4916
Mailing Address - Fax:
Practice Address - Street 1:225 SOUTH ST
Practice Address - Street 2:
Practice Address - City:RIDGWAY
Practice Address - State:PA
Practice Address - Zip Code:15853-2033
Practice Address - Country:US
Practice Address - Phone:814-772-4916
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-23
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory