Provider Demographics
NPI:1588980080
Name:SWEET DREAMS SLEEP THERAPY
Entity type:Organization
Organization Name:SWEET DREAMS SLEEP THERAPY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:CARROLL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-932-3744
Mailing Address - Street 1:1001 TREETOPS BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-7606
Mailing Address - Country:US
Mailing Address - Phone:601-932-3744
Mailing Address - Fax:601-932-7433
Practice Address - Street 1:3000 MARKET ST NE
Practice Address - Street 2:SUITE 321
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-1882
Practice Address - Country:US
Practice Address - Phone:503-364-9557
Practice Address - Fax:503-364-9058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-09
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR1588980080Medicare NSC