Organization · NPI-2

Reliance Sleep Centers Of America, PA

Clinic/Center, Sleep Disorder Diagnostic · Jesup, GA

NPI number1306118658
StatusActive
Last updated in NPPESFeb 2, 2012

Details

NPI
1306118658
Entity type
Organization (NPI-2)
Legal business name
Reliance Sleep Centers Of America, PA
Organization subpart
Yes
Enumeration date
Feb 2, 2012
Last updated
Feb 2, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QS1200X Clinic/Center, Sleep Disorder Diagnostic––Yes

Practice location

761 E Cherry St
Jesup, GA 31546-5168

Phone 912-385-2481 · Fax 912-385-2491

Mailing address

87 Lindsey Ln
Unit A
Kingsland, GA 31548-6922

Phone 912-576-6831 · Fax 912-576-6861

Authorized official

Mike Shehee
President
9123260643

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