Provider Demographics
NPI:1730719535
Name:JUST SLEEP, LLC
Entity type:Organization
Organization Name:JUST SLEEP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:GLEN
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:RT, RPSGT
Authorized Official - Phone:803-331-5772
Mailing Address - Street 1:803 HOPE RD
Mailing Address - Street 2:
Mailing Address - City:BRANCHVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29432-2526
Mailing Address - Country:US
Mailing Address - Phone:803-331-5772
Mailing Address - Fax:
Practice Address - Street 1:416F ROBERTSON BLVD
Practice Address - Street 2:
Practice Address - City:WALTERBORO
Practice Address - State:SC
Practice Address - Zip Code:29488-2756
Practice Address - Country:US
Practice Address - Phone:803-331-5772
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-21
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic