Restful Sleep Plus Llc | |
130 N Ash St Suite 202 Casper WY 82601-1821 | |
(307) 265-3595 | |
(307) 265-0778 |
Full Name | Restful Sleep Plus Llc |
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Speciality | Durable Medical Equipment & Medical Supplies |
Location | 130 N Ash St, Casper, Wyoming |
Authorized Official Name and Position | John Lee Bouzis (SOLE MEMBER) |
Authorized Official Contact | 3072653595 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Restful Sleep Plus Llc 130 N Ash St Suite 202 Casper WY 82601-1821 Ph: (307) 265-3595 | Restful Sleep Plus Llc 130 N Ash St Suite 202 Casper WY 82601-1821 Ph: (307) 265-3595 |
NPI Number | 1124495775 |
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Provider Enumeration Date | 08/31/2015 |
Last Update Date | 08/31/2015 |
Medicare PECOS PAC ID | 9133413198 |
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Medicare Enrollment ID | O20160815000608 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124495775 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 104611 (Wyoming) | Secondary |
332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | 104611 (Wyoming) | Primary |
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