Organization · NPI-2

At Home Sleep Solutions LLC

Clinic/Center, Dental · Fair Lawn, NJ

NPI number1457761892
StatusActive
Last updated in NPPESJul 14, 2016

Details

NPI
1457761892
Entity type
Organization (NPI-2)
Legal business name
At Home Sleep Solutions LLC
Organization subpart
No
Enumeration date
May 7, 2014
Last updated
Jul 14, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental––Yes
261QS1200X Clinic/Center, Sleep Disorder Diagnostic––
332B00000X Durable Medical Equipment & Medical Supplies––

Practice location

26-07 Broadway
Fair Lawn, NJ 07410

Phone 201-396-9338

Mailing address

26-07 Broadway
Fair Lawn, NJ 07410

Phone 201-396-9338

Authorized official

Michael Doblin
President
2013969338

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