Superior Sleep And Wellness Of Conejo Valley LLC
Durable Medical Equipment & Medical Supplies, Customized Equipment in Westlake Village, CA. Organization (NPI-2).
NPI number1962069005
StatusActive
Last updated in NPPESJan 6, 2021
Details
- NPI
- 1962069005
- Entity type
- Organization (NPI-2)
- Legal business name
- Superior Sleep And Wellness Of Conejo Valley LLC
- Organization subpart
- No
- Enumeration date
- May 23, 2019
- Certification date
- Jan 6, 2021
- Last updated
- Jan 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | – | – | Yes |
| 122300000X | Dentist | – | – |
Practice location
1240 S Westlake Blvd Ste 131Westlake Village, CA 91361-1932
Phone 818-889-7779
Mailing address
2510 S Rochester Rd Ste BRochester Hills, MI 48307-3817
Authorized official
Frank Holecek
President
2489127616
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