Provider Demographics
NPI:1700167541
Name:SLEEP SOUNDLY
Entity type:Organization
Organization Name:SLEEP SOUNDLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MISS
Authorized Official - First Name:RTENEE
Authorized Official - Middle Name:C
Authorized Official - Last Name:MCPHEE
Authorized Official - Suffix:
Authorized Official - Credentials:CRTT
Authorized Official - Phone:404-376-4760
Mailing Address - Street 1:590 PONCE DE LEON AVE NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-1855
Mailing Address - Country:US
Mailing Address - Phone:404-376-4760
Mailing Address - Fax:
Practice Address - Street 1:626 PARKWAY DR
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2614
Practice Address - Country:US
Practice Address - Phone:404-376-4760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-07
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA452510883OtherPRIVATE INSURANCE