Provider Demographics
NPI:1306068531
Name:RENAISSANCE SLEEP CENTER, INC
Entity type:Organization
Organization Name:RENAISSANCE SLEEP CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:NICHOLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-920-9966
Mailing Address - Street 1:2920 WINCHESTER AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101-1962
Mailing Address - Country:US
Mailing Address - Phone:606-920-9966
Mailing Address - Fax:606-920-9965
Practice Address - Street 1:2920 WINCHESTER AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-1962
Practice Address - Country:US
Practice Address - Phone:606-920-9966
Practice Address - Fax:606-920-9965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty