Provider Demographics
NPI:1306118658
Name:RELIANCE SLEEP CENTERS OF AMERICA, PA
Entity type:Organization
Organization Name:RELIANCE SLEEP CENTERS OF AMERICA, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEHEE
Authorized Official - Suffix:
Authorized Official - Credentials:RPSGT
Authorized Official - Phone:912-326-0643
Mailing Address - Street 1:87 LINDSEY LN
Mailing Address - Street 2:UNIT A
Mailing Address - City:KINGSLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31548-6922
Mailing Address - Country:US
Mailing Address - Phone:912-576-6831
Mailing Address - Fax:912-576-6861
Practice Address - Street 1:761 E CHERRY ST
Practice Address - Street 2:
Practice Address - City:JESUP
Practice Address - State:GA
Practice Address - Zip Code:31546-5168
Practice Address - Country:US
Practice Address - Phone:912-385-2481
Practice Address - Fax:912-385-2491
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RELIANCE SLEE CENTERS OF AMERICA, PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-02-02
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic