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Institute Of Sleep Wellness, LLC

Clinic/Center, Sleep Disorder Diagnostic in Jackson, TN. Organization (NPI-2).

NPI number1336506252
StatusActive
Last updated in NPPESJan 22, 2016

Details

NPI
1336506252
Entity type
Organization (NPI-2)
Legal business name
Institute Of Sleep Wellness, LLC
Organization subpart
No
Enumeration date
Jan 22, 2016
Last updated
Jan 22, 2016

Taxonomy and licenses

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

Practice location

104 Stonebridge Blvd
Jackson, TN 38305-2038

Phone 716-695-1754

Mailing address

104 Stonebridge Blvd
Jackson, TN 38305-2038

Authorized official

Navina Mehta
Physician Owner
9316951754

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