Provider Demographics
NPI:1215262449
Name:EZ SLEEP SUPPLIES LLC
Entity type:Organization
Organization Name:EZ SLEEP SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLE
Authorized Official - Middle Name:RANAE
Authorized Official - Last Name:SAVAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-323-9624
Mailing Address - Street 1:7200 W SAGINAW HWY STE 3
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-1133
Mailing Address - Country:US
Mailing Address - Phone:517-853-9126
Mailing Address - Fax:
Practice Address - Street 1:2062 N US HIGHWAY 31 S STE 3
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-6997
Practice Address - Country:US
Practice Address - Phone:231-421-1932
Practice Address - Fax:231-521-1934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-06
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5836000002Medicare NSC